Individual provider Active NPI

Dustin Duke, LCPC, LAC

  • Professional Counselor
  • Billings, MT
National Provider Identifier
1356092175
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-LCPC-LIC-62191 Issued in MT
Practice address
1629 Avenue D Ste A5
Billings, MT 59102-3042
Phone
(406) 200-4612
NPI assigned
Jan 13, 2022
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X BBH-LIC-LAC-55307 MT
Professional Counselor 101YP2500X BBH-LCPC-LIC-62191 MT Primary

Addresses

Primary practice location

1629 Avenue D Ste A5
Billings, MT 59102-3042

Mailing address

PO Box 310
Shepherd, MT 59079-0310
Phone (406) 200-4612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106002212 MT Practitioner - Mental Health Counselor 1658805163 Practice locations: Billings, MT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LIC-LAC-55307MTMDAddiction (Substance Use Disorder) Counselor
BBH-LCPC-LIC-62191MTMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1356092175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "SHEPHERD",
            "state": "MT",
            "postal_code": "590790310",
            "telephone_number": "406-200-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 AVENUE D STE A5",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591023042",
            "telephone_number": "406-200-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKE",
        "first_name": "DUSTIN",
        "credential": "LCPC, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-13",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LIC-LAC-55307",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-62191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.