Individual provider Active NPI

Emily Ann Krushefski, LCPC

  • Professional Counselor
  • Bozeman, MT
National Provider Identifier
1154434827
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
941 Issued in MT
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

Updated by the provider on Feb 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
256071MedicaidMT
744593OtherMTBLUE CHIP PROVIDER ID

Other names 1

  • Ms. Emily Ann Leddick Former name

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

LicenseStateTypeSpecialty
941MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.