Active NPI
Emily Ann Krushefski, LCPC
- Professional Counselor
- Bozeman, MT
National Provider Identifier
1154434827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 941
- Practice address
- 1940 W Dickerson St
Suite 102
Bozeman, MT 59718-6851 - Phone
- (406) 522-0410
- Fax
- (406) 587-2292
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 941 | MT | Primary |
Addresses
Primary practice location
1940 W Dickerson St
Suite 102
Bozeman, MT 59718-6851
Mailing address
1940 W Dickerson St
Suite 102
Bozeman, MT 59718-6851
Phone (406) 522-0410
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 256071 | Medicaid | MT | |
| 744593 | Other | MT | BLUE CHIP PROVIDER ID |
Other names 1
- Ms. Emily Ann Leddick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 24, 2024 through Jan 24, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 941 | MT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Envision Counseling and Consulting, P.C. | Professional | Current | Accepting new patients |
| Emily Krushefski, LCPC Inc. | Professional | Current | Accepting new patients |
| Quality Care Counseling, LLC | Professional | Current | Accepting new patients |
Locations
9375 E Shea Blvd
Ste 100
Scottsdale, AZ 85260
Phone (480) 720-9038
1940 W Dickerson St
Ste 102
Bozeman, MT 59718
Phone (406) 522-0410
Organizations & group practices 3
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.
-
- Professional Counselor
- Bozeman, MT
- NPI 1396982435
-
- Mental Health Counselor
- Bozeman, MT
- NPI 1184015570
Professional
-
- Professional Counselor
- Scottsdale, AZ
- NPI 1174213847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1154434827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 W DICKERSON ST",
"address_2": "SUITE 102",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597186851",
"telephone_number": "406-522-0410",
"fax_number": "406-587-2292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 W DICKERSON ST",
"address_2": "SUITE 102",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597186851",
"telephone_number": "406-522-0410",
"fax_number": "406-587-2292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUSHEFSKI",
"first_name": "EMILY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "256071",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP PROVIDER ID",
"identifier": "744593",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "LEDDICK",
"middle_name": "ANN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.