Douglas B Bunnell, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

BBH-LAC-LIC-70021 Issued in MT

Practice address

61262 Watson Rd
St Ignatius, MT 59865-9124

Phone

(406) 381-3962

NPI assigned

Jul 26, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Stepping Stones Behavioral Health Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Missoula, MT
  • NPI 1730778408
  NPD (past)
• Stepping Stones Counseling, PLLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Missoula, MT
  • NPI 1407346596

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729900800000",
    "number": "1154094357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61262 WATSON RD",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "598659124",
            "telephone_number": "406-381-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61262 WATSON RD",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "598659124",
            "telephone_number": "406-381-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNNELL",
        "first_name": "DOUGLAS",
        "middle_name": "B",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-26",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LAC-LIC-70021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josh Jay Brown
• Heather-Mae P. Bucich, R.N.
• Derek Jagger Buddie-Damon
• Shawna Belle Buffalo, LCSW
• Steven Alexander Buffalo
• Anna C Burham, DENTAL HYGIENIST
• Kimberly Byxbee, DDS
• Jessi L. Cahoon, RPH
• Mary H Callahan, MS, CCC-SLP
• Billie Nich'E Caye Daniel, RN

• Addiction (Substance Use Disorder) Counselor in St Ignatius, MT
• Providers in St Ignatius, MT by specialty
• Addiction (Substance Use Disorder) Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; 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.