Organization Active NPI

Annemarie Dubois, LCSW, L.L.C

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bozeman, MT
National Provider Identifier
1013422781
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
SWP-LCSW-LIC-4591 Issued in MT
Legal business name
ANNEMARIE DUBOIS, LCSW, L.L.C
Practice address
1351 Stoneridge Dr Ste D
Bozeman, MT 59718-7079
Phone
(802) 999-4559
NPI assigned
Dec 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Authorized official

Name
Annemarie Dubois, LCSW
Title
Therapist
Phone
(802) 999-4559

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X SWP-LCSW-LIC-4591 MT Primary
Adult Mental Health Clinic/Center 261QM0850X SWP-LCSW-LIC-4591 MT
Adolescent and Children Mental Health Clinic/Center 261QM0855X SWP-LCSW-LIC-4591 MT

Addresses

Primary practice location

1351 Stoneridge Dr Ste D
Bozeman, MT 59718-7079

Mailing address

PO Box 4193
Bozeman, MT 59772-4193
Phone (802) 999-4559

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1013422781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4193",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597724193",
            "telephone_number": "802-999-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 STONERIDGE DR STE D",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187079",
            "telephone_number": "802-999-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNEMARIE DUBOIS, LCSW, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "DUBOIS",
        "authorized_official_first_name": "ANNEMARIE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "802-999-4559",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MT",
            "license": "SWP-LCSW-LIC-4591",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MT",
            "license": "SWP-LCSW-LIC-4591",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MT",
            "license": "SWP-LCSW-LIC-4591",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.