Active NPI
Dustin Duke, LCPC, LAC
- Professional Counselor
- Billings, MT
National Provider Identifier
1356092175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- BBH-LCPC-LIC-62191
- Practice address
- 1629 Avenue D Ste A5
Billings, MT 59102-3042 - Phone
- (406) 200-4612
- NPI assigned
- Jan 13, 2022
- Last updated
- Apr 29, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241106002212 | MT | Practitioner - Mental Health Counselor | 1658805163 | Practice locations: Billings, MT |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LIC-LAC-55307 | MT | MD | Addiction (Substance Use Disorder) Counselor |
| BBH-LCPC-LIC-62191 | MT | MD | Professional 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.