Erika Berens, ATC, LAT
Individual provider Active NPI Athletic Trainer · Dillon, MT
NPI 1609278282 · NPPES record last updated Sep 25, 2014
Key facts
- NPI
- 1609278282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 1015 (MT)
- Practice address
- 104 N Pacific St
Dillon, MT 59725-2623 - Phone
- (406) 683-2361
- NPI assigned
- Sep 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1015 | MT | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaverhead County School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1015 | MT | Yes |
Addresses
Primary practice location
104 N Pacific St
Dillon, MT 59725-2623
Mailing address
4 Legget Ave
Dillon, MT 59725-3404
Phone (303) 905-3504
Other providers in Dillon, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.