Active NPI
Robert 'Denny' D Irwin, LAC
- Addiction (Substance Use Disorder) Counselor
- Lewistown, MT
National Provider Identifier
1306935366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1158
- Practice address
- 212 Wendell Ave
Lewistown, MT 59457 - Phone
- (406) 538-7483
- Fax
- (406) 538-7491
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1158 | MT | Primary |
Addresses
Primary practice location
212 Wendell Ave
Lewistown, MT 59457
Mailing address
PO Box 44
Lewistown, MT 59457-0044
Phone (406) 538-7483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1158 | MT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306935366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44",
"city": "LEWISTOWN",
"state": "MT",
"postal_code": "594570044",
"telephone_number": "406-538-7483",
"fax_number": "406-538-7491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 WENDELL AVE",
"city": "LEWISTOWN",
"state": "MT",
"postal_code": "59457",
"telephone_number": "406-538-7483",
"fax_number": "406-538-7491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRWIN",
"first_name": "ROBERT 'DENNY'",
"middle_name": "D",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MT",
"license": "1158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewistown, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.