Richard Dale Bartlett, LCPC
Individual provider Active NPI Professional Counselor · Kalispell, MT
NPI 1023218039 · NPPES record last updated May 19, 2008
Key facts
- NPI
- 1023218039
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1325 (MT)
- Practice address
- 234 2ND St W
Kalispell, MT 59901-4412 - Phone
- (406) 257-5046
- Fax
- (406) 257-5092
- NPI assigned
- Jul 19, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1325 | MT | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1325 | MT | Yes |
Addresses
Primary practice location
234 2ND St W
Kalispell, MT 59901-4412
Mailing address
PO Box 547
Kalispell, MT 59903-0547
Phone (406) 257-5046
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023218039 | Medicaid | MT |
Other providers in Kalispell, MT
- Shawn D Barrong
- Kathryn Jean Barrow
- Jeffrey William Bartels
- Margaret R Bartels
- Roger A Barth
- Rita R Bartlett
- Jeanne M. Bartscher
- Base Vitality PLLC
- Base Vitality PLLC
- Melissa L N Basford
All providers in Kalispell, MT · Professional Counselor in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.