Individual provider Active NPI

Leela Robert-Dvarishkis, LCPC

  • Mental Health Counselor
  • Missoula, MT
National Provider Identifier
1023604808
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BBH-LCPC-LIC-46221 Issued in MT
Practice address
1246 S 6TH St W
Missoula, MT 59801-3539
Phone
(406) 531-7800
NPI assigned
Dec 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X BBH-LCPC-LIC-46221 MT
Professional Counselor 101YP2500X BBH-LCPC-LIC-46221 MT
Mental Health Counselor 101YM0800X BBH-LCPC-LIC-46221 MT Primary

Addresses

Primary practice location

1246 S 6TH St W
Missoula, MT 59801-3539

Mailing address

1246 S 6TH St W
Missoula, MT 59801-3539
Phone (406) 531-7800

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL leela@leelarobertcounseling.com Direct
Other URL leela@leelarobertcounseling.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCPC-LIC-46221MTMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1023604808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 S 6TH ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013539",
            "telephone_number": "406-531-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 S 6TH ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013539",
            "telephone_number": "406-531-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERT-DVARISHKIS",
        "first_name": "LEELA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MT",
            "license": "BBH-LCPC-LIC-46221",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-46221",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-LIC-46221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "leela@leelarobertcounseling.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1246 S 6th St W",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598013539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "leela@leelarobertcounseling.com",
            "affiliation": "N",
            "endpointDescription": "Professional Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1246 S 6th St W",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598013539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.