Eating Disorder Center of Montana

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EATING DISORDER CENTER OF MONTANA

Practice address

1221 S Higgins Ave
Missoula, MT 59801-4140

Phone

(406) 451-7370

Fax

(406) 571-7956

NPI assigned

Jun 14, 2022

Organization subpart

No

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

Authorized official

Name

Jeni Ruth Gochin

Title

Clinical Director/Ceo/Co-Founder

Phone

(805) 637-4900

Specialties & licenses 8

Addresses

Tax ID family

Eating Disorder Center of Montana3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Eating Disorder Center of Montana

  • Mental Health Counselor
  • Bozeman, MT
  • NPI 1053751487
  NPD tax ID
• Eating Disorder Center of Montana

  • Mental Health Counselor
  • Bozeman, MT
  • NPI 1922606920
  NPD tax ID

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1942930789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1306",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597711306",
            "telephone_number": "406-510-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S HIGGINS AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598014140",
            "telephone_number": "406-451-7370",
            "fax_number": "406-571-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATING DISORDER CENTER OF MONTANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "GOCHIN",
        "authorized_official_first_name": "JENI",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/CEO/CO-FOUNDER",
        "authorized_official_telephone_number": "805-637-4900"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Early Blossoms Speech Therapy
• Terran Eastham
• Melissa Eastlick, LCSW
• Easy Living Caregiving, LLC
• Eat Move Grow LLC
• Lillian Eaton
• Timothy James Eberwein, LMT
• Hailee Marie Eckman, ATC
• Margaret A Eddy, MD
• Edgewood Missoula Senior Living LLC

• Mental Health Counselor in Missoula, MT
• Providers in Missoula, MT by specialty
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.