Michelle M Dubovsky, M.S., P.P.C.,N.C.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PPC-412 Issued in WY

Practice address

405 W Boxelder Rd
Suite a-1
Gillette, WY 82718-5320

Phone

(307) 686-7779

Fax

(307) 686-9494

NPI assigned

Jan 14, 2010

Last updated

Jan 14, 2010By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 21, 2024 through Nov 21, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adonai Mental Health Services

  • Adult Mental Health Clinic/Center
  • Gillette, WY
  • NPI 1366878977
  NPD (past)
• Counseling Connections, LLC

  • Community/Behavioral Health Agency
  • Gillette, WY
  • NPI 1689979361
  NPD (past)

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1225369283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W BOXELDER RD",
            "address_2": "SUITE A-1",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185320",
            "telephone_number": "307-686-7779",
            "fax_number": "307-686-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W BOXELDER RD",
            "address_2": "SUITE A-1",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185320",
            "telephone_number": "307-686-7779",
            "fax_number": "307-686-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOVSKY",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "M.S., P.P.C.,N.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "PPC-412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Echo Ora Rose Downey, PMHNP-BC
• Downtown Pediatrics, PC
• Dragonfly Therapy
• Cassidy R Drevlow, DPT
• Madison Driskill
• Nichole L Duff
• Kara Kim Dunlap
• Camlyn Dunn, APRN
• John P Dunn, MD
• Aleece N Durbin, OTD

• Mental Health Counselor in Gillette, WY
• Providers in Gillette, WY by specialty
• Mental Health Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.