Individual provider Active NPI

Lesley E. Dubay, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Polson, MT
National Provider Identifier
1124160429
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
942 Issued in MT
Practice address
802 Main St Ste C
Polson, MT 59860-3200
Phone
(406) 883-7310
Fax
(406) 883-7312
NPI assigned
Feb 13, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 942 MT Primary

Addresses

Primary practice location

802 Main St Ste C
Polson, MT 59860-3200

Mailing address

34166 Minesinger TRL
Polson, MT 59860-7302
Phone (406) 883-7310

Other identifiers 2

IdentifierTypeStateIssuer
76358OtherMTBLUE CROSS BLUE SHIELD
0320099MedicaidMT

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
942MTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake County Chemical Dependency Program Past Accepting new patients
Western Montana Mental Health Center Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124160429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34166 MINESINGER TRL",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598607302",
            "telephone_number": "406-883-7310",
            "fax_number": "406-883-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MAIN ST STE C",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598603200",
            "telephone_number": "406-883-7310",
            "fax_number": "406-883-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBAY",
        "first_name": "LESLEY",
        "middle_name": "E.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "76358",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0320099",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Polson, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.