Individual provider Active NPI

Craig Erwin Struble, LCSW

  • Clinical Social Worker
  • Helena, MT
National Provider Identifier
1396809083
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-25391 Issued in MT
Practice address
3240 Dredge Dr
Helena, MT 59602-0548
Phone
(406) 431-3243
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 1074 MT
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X BBH-LCSW-LIC-25391 MT Primary

Addresses

Primary practice location

3240 Dredge Dr
Helena, MT 59602-0548

Mailing address

232 Quarter Circle Rd
East Helena, MT 59635-9613
Phone (406) 431-3243

Other practice location 1

45 Medical Park Dr Lowr Level
Helena, MT 59601-4949
Phone (406) 431-3243

Other identifiers 1

IdentifierTypeStateIssuer
76094-0OtherMTLICENSED ADDICTIONS COUNS

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-LCSW-LIC-25391MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Recovery LLC PastSince Aug 18, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396809083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 QUARTER CIRCLE RD",
            "city": "EAST HELENA",
            "state": "MT",
            "postal_code": "596359613",
            "telephone_number": "406-431-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 DREDGE DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020548",
            "telephone_number": "406-431-3243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Medical Park Dr Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596014949",
            "country_code": "US",
            "telephone_number": "406-431-3243",
            "fax_number": "406-227-5847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRUBLE",
        "first_name": "CRAIG",
        "middle_name": "ERWIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "1074",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-25391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ADDICTIONS COUNS",
            "identifier": "76094-0",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.