Individual provider Active NPI

Lisa Ashley Streich, LCPC, LMT

  • Professional Counselor
  • Bozeman, MT
National Provider Identifier
1356654057
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-LCPC-LIC-43684 Issued in MT
Practice address
601 Nikles Dr Ste 6
Bozeman, MT 59715-2570
Phone
(406) 599-3818
NPI assigned
Jul 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MT
Massage Therapist 225700000X 570343-09 MT
Professional Counselor 101YP2500X BBH-LCPC-LIC-43684 MT Primary

Addresses

Primary practice location

601 Nikles Dr Ste 6
Bozeman, MT 59715-2570

Mailing address

975 Kodiak PL
Belgrade, MT 59714-9042
Phone (406) 599-3818

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

LicenseStateTypeSpecialty
BBH-LCPC-LIC-43684MTMDProfessional Counselor
570343-09MTMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1356654057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 KODIAK PL",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597149042",
            "telephone_number": "406-599-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NIKLES DR STE 6",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152570",
            "telephone_number": "406-599-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREICH",
        "first_name": "LISA",
        "middle_name": "ASHLEY",
        "credential": "LCPC, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MT",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "570343-09",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-43684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.