Active NPI
Dustin William Edgerton, LMFT
- Marriage & Family Therapist
- Helena, MT
National Provider Identifier
1487911541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 5856229-3902
- Practice address
- 2620 Colonial Dr
Helena, MT 59601-4998 - Phone
- (406) 443-1660
- NPI assigned
- Apr 13, 2012
- Last updated
- Jul 12, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 5856229-3902 | UT | Primary |
Addresses
Primary practice location
2620 Colonial Dr
Helena, MT 59601-4998
Mailing address
41 Grandview Loop
Townsend, MT 59644-9550
Phone (406) 461-6750
Other names 1
- Dusty William Edgerton
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 |
|---|---|---|---|
| 5856229-3902 | UT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1487911541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 GRANDVIEW LOOP",
"city": "TOWNSEND",
"state": "MT",
"postal_code": "596449550",
"telephone_number": "406-461-6750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 COLONIAL DR",
"city": "HELENA",
"state": "MT",
"postal_code": "596014998",
"telephone_number": "406-443-1660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGERTON",
"first_name": "DUSTIN",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-13",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "5856229-3902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DUSTY",
"last_name": "EDGERTON",
"middle_name": "WILLIAM",
"credential": "LMFT",
"code": "5",
"type": "Other Name"
}
]
}
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 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.