Dickerson Counseling, L.L.C.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1192 LAC Issued in MT

Legal business name

DICKERSON COUNSELING, L.L.C.

Practice address

17 2ND St E
Suite #204
Kalispell, MT 59901-6107

Phone

(406) 752-0530

NPI assigned

Jul 17, 2007

Last updated

Jan 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Laura Dickerson, LACNPI 1427257005

Title

Member

Phone

(406) 752-0530

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Laura Dickerson, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Kalispell, MT
  • NPI 1427257005
  NPD (past) Authorized official
• Angela Otto, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Kalispell, MT
  • NPI 1003270810
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1205035433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 2ND ST E",
            "address_2": "SUITE #204",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599016107",
            "telephone_number": "406-752-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 2ND ST E",
            "address_2": "SUITE #204",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599016107",
            "telephone_number": "406-752-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKERSON COUNSELING, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "406-752-0530",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "1192 LAC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Kalispell, MT
• Providers in Kalispell, 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 27, 2016; 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.