Active NPI
Melanie Dawne Sorensen, LAC
- Addiction (Substance Use Disorder) Counselor
- Poplar, MT
National Provider Identifier
1396396008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- BBH-LAC-LIC-38103
- Practice address
- 400 4TH Ave W
Poplar, MT 59255-9455 - Phone
- (406) 768-3384
- NPI assigned
- Sep 24, 2019
- Last updated
- Oct 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | BBH-LAC-LIC-38103 | MT | Primary |
Addresses
Primary practice location
400 4TH Ave W
Poplar, MT 59255-9455
Mailing address
439 6TH Ave S
Glasgow, MT 59230-2622
Phone (406) 228-2040
Other practice location 1
439 6th Ave S
Glasgow, MT 59230-2622
Phone (406) 228-2040
Other practice location 2
701 Frontage Rd
Poplar, MT 59255
Phone (406) 768-6003
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 |
|---|---|---|---|
| BBH-LAC-LIC-38103 | MT | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Peck Tribes | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Fort Peck Tribal Health
- Federally Qualified Health Center (FQHC)
- Poplar, MT
- NPI 1609020080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1396396008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "439 6TH AVE S",
"city": "GLASGOW",
"state": "MT",
"postal_code": "592302622",
"telephone_number": "406-228-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 4TH AVE W",
"city": "POPLAR",
"state": "MT",
"postal_code": "592559455",
"telephone_number": "406-768-3384"
}
],
"practiceLocations": [
{
"address_1": "439 6th Ave S",
"address_purpose": "LOCATION",
"city": "Glasgow",
"state": "MT",
"postal_code": "592302622",
"country_code": "US",
"telephone_number": "406-228-2040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 Frontage Rd",
"address_purpose": "LOCATION",
"city": "Poplar",
"state": "MT",
"postal_code": "59255",
"country_code": "US",
"telephone_number": "406-768-6003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SORENSEN",
"first_name": "MELANIE",
"middle_name": "DAWNE",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-24",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MT",
"license": "BBH-LAC-LIC-38103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poplar, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.