NPIMap

Organization Active NPI

District II Alcohol and Drug Program

  • Addiction (Substance Use Disorder) Counselor
  • Glendive, MT
National Provider Identifier
1144366246
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
211-07 Issued in MT
Legal business name
DISTRICT II ALCOHOL AND DRUG PROGRAM
Practice address
119 S Kendrick Ave
Glendive, MT 59330-1626
Phone
(406) 377-5942
Fax
(406) 377-3050
NPI assigned
Jan 29, 2007
Last updated
Feb 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Jerry D Schlepp, M.A., LACNPI 1750427795
Title
Executive Director
Phone
(406) 377-5942

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 211-07 MT Primary

Addresses

Primary practice location

119 S Kendrick Ave
Glendive, MT 59330-1626

Mailing address

119 S Kendrick Ave
Glendive, MT 59330-1626
Phone (406) 377-5942

National Provider Directory

National Provider Directory
Tax ID family
District II Alcohol and Drug Program2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

119 S Kendrick Ave
Glendive, MT 59330
Phone (406) 377-5942

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1144366246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S KENDRICK AVE",
            "city": "GLENDIVE",
            "state": "MT",
            "postal_code": "593301626",
            "telephone_number": "406-377-5942",
            "fax_number": "406-377-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S KENDRICK AVE",
            "city": "GLENDIVE",
            "state": "MT",
            "postal_code": "593301626",
            "telephone_number": "406-377-5942",
            "fax_number": "406-377-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT II ALCOHOL AND DRUG PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "SCHLEPP",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "406-377-5942",
        "authorized_official_credential": "M.A., LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "211-07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendive, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.