Eastern Montana Community Mental Health Center
Organization Active NPI Clinic/Center · Miles City, MT
NPI 1992786784 · NPPES record last updated Jan 21, 2025
Key facts
- NPI
- 1992786784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- EASTERN MONTANA COMMUNITY MENTAL HEALTH CENTER
- Practice address
- 2508 Wilson St
Miles City, MT 59301-5000 - Phone
- (406) 234-1687
- Fax
- (406) 234-1698
- NPI assigned
- Nov 8, 2005
- Organization subpart
- No
Authorized official
- Name
- Kathy K Beason
- Title
- Chief Information Officer
- Phone
- (406) 234-0234
Corporate family (same tax ID) 1
Practitioners 49
-
Dani Draine, LCPC
-
Ellen Sue Goodnature, LCPC
-
Rachel Lynn Grafton, LCPC, MS
-
Sheri Lynn Hilyard, LISW, LADAC
-
Cynthia A Raye, LCPC
-
Bridgette A Spang, PCLC
-
Aliceann Carlton, LCPC
-
Kristen Grimsrud, LCPC
-
Lindsey Elizabeth Hoerner, LCSW,LAC
-
Charli Anne Mader, LCPC
-
Melinda M Truesdell, APRN
-
Laura Wetherelt, APRN
-
Janelle Dene' Brien, PCLC
-
Raine J Adams, LAC
-
Dennis Dean Bighorn, LAC
-
Brady Brooks, LAC
-
Charlotte Rose Carlson, LCPC
-
Paisley J Ferdina, PCLCP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050705000923 | MT | Part B Supplier - Clinic/Group Practice | 9032155601 |
Receives reassigned benefits from 18 practitioners Practice locations: Wolf Point, MT; Sidney, MT; Plentywood, MT; Forsyth, MT; Miles City, MT; Malta, MT; Glasgow, MT; Colstrip, MT… |
National Provider Directory
- Tax ID family
- Eastern Montana Community Mental Health Center
Locations
1009 6th Ave N
Glasgow, MT 59230
Phone (406) 228-9349
204 N Kendrick Ave
Glendive, MT 59330
Phone (406) 365-6075
2016 N Merrill Ave
Glendive, MT 59330
Phone (406) 377-6075
2508 Wilson St
Miles City, MT 59301
Phone (406) 234-0234
221 5th St SW
Sidney, MT 59270
Phone (406) 433-4635
1201 W Holly St
Ste 4
Sidney, MT 59270
Phone (406) 433-4635
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Mental Health Counselor |
101YM0800X | |||
| Clinical Social Worker |
1041C0700X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Clinic/Center | 261Q00000X | Yes | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 10392 | MT | |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
2508 Wilson St
Miles City, MT 59301-5000
Mailing address
PO Box 1530
Miles City, MT 59301-1530
Phone (406) 234-0234
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0255527 | Medicaid | MT | |
| 0290147 | Medicaid | MT | |
| 0402142 | Medicaid | MT | |
| 0320112 | Medicaid | MT | |
| 75031 | Other | MT | BS/BS PROVIDER # |
| 0439212 | Medicaid | MT | |
| 0502418 | Medicaid | MT | |
| 0491470 | Medicaid | MT |
Other providers in Miles City, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.