| Western Montana Mental Health Center | |
|
1321 Wyoming St Missoula MT 59801-1725 | |
| (406) 532-8400 | |
| (406) 224-4402 |
| Full Name | Western Montana Mental Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1321 Wyoming St, Missoula, Montana |
| Authorized Official Name and Position | Cory Destein (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 4065328400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Montana Mental Health Center 1321 Wyoming St Missoula MT 59801-1725 Ph: (406) 532-8400 | Western Montana Mental Health Center 1321 Wyoming St Missoula MT 59801-1725 Ph: (406) 532-8400 |
| NPI Number | 1912079328 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 05/28/2024 |
| Certification Date | 05/28/2024 |
| Medicare PECOS PAC ID | 6507764453 |
|---|---|
| Medicare Enrollment ID | O20031230000190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912079328 | NPI | - | NPPES |
| 141232 | Medicaid | MT | |
| 320424 | Medicaid | MT | |
| 352248 | Medicaid | MT | |
| 047379 | Medicaid | MT | |
| 502316 | Medicaid | MT | |
| 290108 | Medicaid | MT | |
| 320177 | Medicaid | MT | |
| 320385 | Medicaid | MT | |
| 439161 | Medicaid | MT | |
| 491419 | Medicaid | MT | |
| 255425 | Medicaid | MT | |
| 000008376 | Other | MT | PTAN |
| 601647 | Medicaid | MT |
| Provider Name | Marc C Mentel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376574871 PECOS PAC ID: 4688657083 Enrollment ID: I20040712000808 |
| Provider Name | Anne S Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083621635 PECOS PAC ID: 5698712909 Enrollment ID: I20050408000275 |
| Provider Name | Marlene K Tocher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679672125 PECOS PAC ID: 8022036102 Enrollment ID: I20051107001078 |
| Provider Name | Traci L Richards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073523346 PECOS PAC ID: 5597767152 Enrollment ID: I20070210000026 |
| Provider Name | Sylvia H Mahr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215944335 PECOS PAC ID: 9133227036 Enrollment ID: I20070530000492 |
| Provider Name | Logan R Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780837955 PECOS PAC ID: 4981892148 Enrollment ID: I20110103000930 |
| Provider Name | Erika A Weber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114220787 PECOS PAC ID: 6305035916 Enrollment ID: I20110113000432 |
| Provider Name | Heather N Zufelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295029718 PECOS PAC ID: 8628246220 Enrollment ID: I20110726000957 |
| Provider Name | Rebecca L White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902903321 PECOS PAC ID: 8628094414 Enrollment ID: I20120724000441 |
| Provider Name | Heather R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477897908 PECOS PAC ID: 6204089436 Enrollment ID: I20130119000089 |
| Provider Name | Elizabeth Km Hector |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487881777 PECOS PAC ID: 3072749829 Enrollment ID: I20131126001422 |
| Provider Name | Jane Mergy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205172582 PECOS PAC ID: 9537391651 Enrollment ID: I20140403001726 |
| Provider Name | Ashley Champagne Post |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053777326 PECOS PAC ID: 8921398868 Enrollment ID: I20160603002053 |
| Provider Name | Michelle Rae Moles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336315787 PECOS PAC ID: 5890080006 Enrollment ID: I20160826002415 |
| Provider Name | Kaley R Radermacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194273730 PECOS PAC ID: 3779861703 Enrollment ID: I20161026002035 |
| Provider Name | Carly J Hillenbrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760880066 PECOS PAC ID: 6204115827 Enrollment ID: I20161122000796 |
| Provider Name | Adrian G Sagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124482401 PECOS PAC ID: 5991086183 Enrollment ID: I20161230000496 |
| Provider Name | Lisa M Turk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962940460 PECOS PAC ID: 4486938263 Enrollment ID: I20170222001073 |
| Provider Name | Kimberly G Nottestad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164780904 PECOS PAC ID: 4789903949 Enrollment ID: I20170516002896 |
| Provider Name | Marnie Basta-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053849851 PECOS PAC ID: 7214206911 Enrollment ID: I20170712002360 |
| Provider Name | Brittany Eppard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649627936 PECOS PAC ID: 5597057752 Enrollment ID: I20171211002446 |
| Provider Name | Michael A Foust |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528261948 PECOS PAC ID: 7416215306 Enrollment ID: I20171226000857 |
| Provider Name | Adrian B Utsch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194902726 PECOS PAC ID: 9739448929 Enrollment ID: I20180116000945 |
| Provider Name | Melissa D Zielinske |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831554849 PECOS PAC ID: 4284995002 Enrollment ID: I20180219000795 |
| Provider Name | Christopher Weber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659862795 PECOS PAC ID: 0840545752 Enrollment ID: I20180618002304 |
| Provider Name | Teresa Whalen Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437515475 PECOS PAC ID: 7719278464 Enrollment ID: I20181010002954 |
| Provider Name | Allison W Janes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306326038 PECOS PAC ID: 6507106861 Enrollment ID: I20190322001757 |
| Provider Name | Patrick Maidman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467490375 PECOS PAC ID: 4688616287 Enrollment ID: I20190326002167 |
| Provider Name | Sarah Mcnair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326508342 PECOS PAC ID: 3779825138 Enrollment ID: I20190504000089 |
| Provider Name | Maria F Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205394764 PECOS PAC ID: 1052645447 Enrollment ID: I20190618002303 |
| Provider Name | Tara Jane Willoughby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487207122 PECOS PAC ID: 9830429315 Enrollment ID: I20190925003829 |
| Provider Name | Jentry Ann Wheaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164920088 PECOS PAC ID: 7416380761 Enrollment ID: I20191127001839 |
| Provider Name | Katrena Michelle Heagwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699307637 PECOS PAC ID: 5496183592 Enrollment ID: I20200324002835 |
| Provider Name | Nora Caitlin Healy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578104253 PECOS PAC ID: 9032549423 Enrollment ID: I20200427001720 |
| Provider Name | Lucas E Woodhead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417582719 PECOS PAC ID: 8921438151 Enrollment ID: I20200430000909 |
| Provider Name | Richard Edmund Mitchell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528329646 PECOS PAC ID: 0042520264 Enrollment ID: I20200527002960 |
| Provider Name | Amber Rose Pierce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417435512 PECOS PAC ID: 6406182104 Enrollment ID: I20200929000539 |
| Provider Name | Heather K Judkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669005526 PECOS PAC ID: 6507270451 Enrollment ID: I20210204000918 |
| Provider Name | Emily Bodner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881281020 PECOS PAC ID: 6507273323 Enrollment ID: I20210323002250 |
| Provider Name | Kindra Vanessa Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225621113 PECOS PAC ID: 8022425420 Enrollment ID: I20210331002864 |
| Provider Name | Chelsea Jo Boggess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568129765 PECOS PAC ID: 3678966561 Enrollment ID: I20220217002039 |
| Provider Name | Kristel Kishbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699409995 PECOS PAC ID: 7416313572 Enrollment ID: I20230515002476 |
| Provider Name | Jamie Marie Ray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174242234 PECOS PAC ID: 2668823436 Enrollment ID: I20240105000722 |
| Provider Name | Brett Hamilton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649741448 PECOS PAC ID: 8628429784 Enrollment ID: I20240112002854 |
Riverbank Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 S 4th St W, Missoula, MT 59801 Phone: 406-207-7554 | |
Salveo Counseling And Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Kensington Ave Ste Ll2, Missoula, MT 59801 Phone: 406-529-2712 | |
Your Migraine Care Missoula Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2831 Fort Missoula Rd, Ste 104, Missoula, MT 59804 Phone: 406-926-1300 | |
Thomas Hodgetts, Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Broadway St Ste 204, Missoula, MT 59802 Phone: 406-239-5279 Fax: 406-578-8340 | |
Stacey De Witt Lcpc Llc (stacey M De Witt Sole Mbr) Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 W Alder St Ste 10, Missoula, MT 59802 Phone: 406-529-5121 | |
Shape Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 N Higgins Ave Ste 204, Missoula, MT 59802 Phone: 406-220-5581 | |
Montana Neurobehavioral Specialists Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 N Orange St, Third Floor, Missoula, MT 59802 Phone: 406-327-3350 Fax: 406-327-3390 |