Sunrise Wellness Center, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUNRISE WELLNESS CENTER, LLC

Practice address

216 E Main St Ste 2
Sidney, MT 59270-4328

Phone

(406) 643-4095

NPI assigned

Jun 26, 2019

Organization subpart

No

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

Authorized official

Name

Jessica Danielle McDanold, LCSWNPI 1780956300

Title

Owner/Therapist

Phone

(406) 643-4095

Specialties & licenses 9

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica McDanold, LCSW

  • Clinical Social Worker
  • Sidney, MT
  • NPI 1780956300
  Medicare reassignment NPD Authorized official
• Sarah Ann Perrault, LCPC, LAC

  • Mental Health Counselor
  • Sidney, MT
  • NPI 1760940027

  Addiction (Substance Use Disorder)

  NPD
• Roger Allan Anderson, OD

  • Optometrist
  • Sidney, MT
  • NPI 1740345776
  NPD (past)
• Charlotte Rose Carlson, LCPC

  • Professional Counselor
  • Sidney, MT
  • NPI 1316267156
  NPD (past)

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1962063396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1407",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592701407",
            "telephone_number": "406-643-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E MAIN ST STE 2",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592704328",
            "telephone_number": "406-643-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "MCDANOLD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "406-643-4095",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "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": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Dale Spiers Jr., C.R.N.A.
• Danielle Rose Steinley, DOT, OTR/L
• Wendy Stockwell
• Bradley Lynn Strupp, CRNA
• Sunrise City Emergency Physicians LLC
• Susan Marie Swayne, MD
• Malua Tambi Iya, M.D.
• The Lodge at Lone Tree Creek
• Anthony David Thiessen, D.M.D.
• Thy Neighbor, LLC

• Community/Behavioral Health Agency in Sidney, MT
• Providers in Sidney, MT by specialty
• Community/Behavioral Health Agency in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.