Organization Active NPI

Stillwaters Behavioral Health LLC

  • Clinical Social Worker
  • Helena, MT
National Provider Identifier
1942767256
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
STILLWATERS BEHAVIORAL HEALTH LLC
Practice address
44 N Last Chance Gulch Ste 2
Helena, MT 59601-4158
Phone
(406) 465-4580
NPI assigned
Feb 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wendy Bazinet, LCSW
Title
Member
Phone
(406) 465-4580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

44 N Last Chance Gulch Ste 2
Helena, MT 59601-4158

Mailing address

PO Box 9736
Helena, MT 59604-9736
Phone (406) 465-4580

Other identifiers 1

IdentifierTypeStateIssuer
563890MedicaidMT

National Provider Directory

National Provider Directory

Locations

44 N Last Chance Gulch
Ste 2
Helena, MT 59601
Phone (406) 465-4580

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1942767256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9736",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596049736",
            "telephone_number": "406-465-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 N LAST CHANCE GULCH STE 2",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014158",
            "telephone_number": "406-465-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATERS BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "BAZINET",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "406-465-4580",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "563890",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.