Amanda Dusatko

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

BBH-ACLC-LIC-54933 Issued in MT

Practice address

2911 Wilson St
Miles City, MT 59301-5722

Phone

(406) 234-2929

Fax

(406) 234-2928

NPI assigned

Jan 10, 2022

Last updated

Jan 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Two Rivers Wellness

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Miles City, MT
  • NPI 1013543347
  NPD

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1174284384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MASTIN RD",
            "city": "KINSEY",
            "state": "MT",
            "postal_code": "593389001",
            "telephone_number": "307-240-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 WILSON ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593015722",
            "telephone_number": "406-234-2929",
            "fax_number": "406-234-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSATKO",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-ACLC-LIC-54933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "BBH-ACLC-LIC-54933",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adusatko2riverswellness@direct.practicefusion.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging for Practice Fusion",
            "affiliationName": "Two Rivers Wellness",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2911 Wilson St",
            "city": "Miles City",
            "state": "MT",
            "country_code": "US",
            "postal_code": "593015722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christine Drivdahl-Smith, MD
• Erik A. Dufner, MPT
• Ty J. Dufner, MPT
• David George Duhaime, LCSW
• Ashli Dumolt, RN
• East Prairie Consulting
• Eastern Montana Community Mental Health Center
• Eastern Montana Health Company (home health specialties)
• Eastern Montana Industries
• Eastern Montana Radiology,P.C.

• Addiction (Substance Use Disorder) Counselor in Miles City, MT
• Providers in Miles City, 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 Jan 10, 2022; 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.