Derek Dalton, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

639 Issued in MT

Practice address

1312 North Meridian
Kalispell, MT 59904-0115

Phone

(406) 756-6453

Fax

(406) 756-8546

NPI assigned

Mar 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386775971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 NORTH MERIDIAN",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "59904",
            "telephone_number": "406-756-6453",
            "fax_number": "406-756-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 NORTH MERIDIAN",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599040115",
            "telephone_number": "406-756-6453",
            "fax_number": "406-756-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "DEREK",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000076391",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP",
            "identifier": "76555",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0320372",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Cymbal, LCSW
• Gabriel C D'Luzansky, LCPC
• Megan Elizabeth Dagle, D.P.T.
• Anthony Roy Dal Nogare, MD
• Taylor Michael Dalstrom, PCLC
• Kimberly Sue Damrow
• Dan Gregerson Counseling
• Dancing Sun, LTD
• Dandelion Therapy Services, PLLC
• Gregory Urs Danielson, PA-C

• Addiction (Substance Use Disorder) Counselor in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Addiction (Substance Use Disorder) Counselor in Montana

• 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.

Verify at the official NPI Registry.