Provider Demographics
| NPI: | 1427003862 |
|---|---|
| Name: | AWARE INC |
| Entity type: | Organization |
| Organization Name: | AWARE INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | BUSINESS OPERATIONS MGR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | LESLIE |
| Authorized Official - Middle Name: | A |
| Authorized Official - Last Name: | YORK |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 406-563-8117 |
| Mailing Address - Street 1: | 205 E PARK AVE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | ANACONDA |
| Mailing Address - State: | MT |
| Mailing Address - Zip Code: | 59711-2340 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 406-563-8117 |
| Mailing Address - Fax: | 406-563-5956 |
| Practice Address - Street 1: | 205 E PARK AVE |
| Practice Address - Street 2: | |
| Practice Address - City: | ANACONDA |
| Practice Address - State: | MT |
| Practice Address - Zip Code: | 59711-2340 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 406-563-8117 |
| Practice Address - Fax: | 406-563-5956 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-05-24 |
| Last Update Date: | 2025-04-15 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| 103K00000X, 251C00000X, 253Z00000X, 261Q00000X, 261QM0801X, 261QM0850X, 261QM0855X, 261QR0405X, 310400000X, 320600000X, 320800000X, 322D00000X, 343900000X, 251S00000X | ||
| MT | 251B00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 251S00000X | Agencies | Community/Behavioral Health | ||
| No | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Single Specialty | |
| No | 251B00000X | Agencies | Case Management | Group - Multi-Specialty | |
| No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | Group - Multi-Specialty | |
| No | 253Z00000X | Agencies | In Home Supportive Care | Group - Multi-Specialty | |
| No | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | ||
| No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | Group - Multi-Specialty |
| No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | Group - Multi-Specialty |
| No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health | |
| No | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder | |
| No | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | ||
| No | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | ||
| No | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | ||
| No | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children | ||
| No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| MT | 0350812 | Medicaid | |
| MT | 000744813 | Other | BCBS PRE-LIC'D PROFESSNLS |
| MT | 0493119 | Medicaid | |
| NM | NM600001 | Other | VALUEOPTIONS VENDOR ID |
| MT | 0502299 | Medicaid | |
| MT | 0047124 | Medicaid | |
| MT | 0255374 | Medicaid | |
| MT | 0290343 | Medicaid | |
| MT | 0320255 | Medicaid | |
| MT | 0320331 | Medicaid | |
| MT | 690812 | Medicaid | |
| NM | 92507255 | Medicaid | |
| NM | B3373 | Medicaid |
