Individual provider Active NPI

Danielle Marie Giacomino, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Butte, MT
National Provider Identifier
1669217618
Registry record updated Jun 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
BBH-LAC-LIC-55816 Issued in MT
Practice address
630 W Mercury St
Butte, MT 59701-1510
Phone
(406) 299-3348
Fax
(406) 299-3450
NPI assigned
Jun 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X BBH-LAC-LIC-55816 MT Primary

Addresses

Primary practice location

630 W Mercury St
Butte, MT 59701-1510

Mailing address

2263 West Dr
Butte, MT 59701-6175
Phone (406) 498-4368

Other practice location 1

201 Orofino Way N
Warm Springs, MT 59756-9718
Phone (406) 693-2272 ext. 510

Other names 1

  • Danielle Marie Skocilich Former name

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-LAC-LIC-55816MTMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1669217618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 WEST DR",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597016175",
            "telephone_number": "406-498-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W MERCURY ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011510",
            "telephone_number": "406-299-3348",
            "fax_number": "406-299-3450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Orofino Way N",
            "address_purpose": "LOCATION",
            "city": "Warm Springs",
            "state": "MT",
            "postal_code": "597569718",
            "country_code": "US",
            "telephone_number": "406-693-2272 x510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIACOMINO",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LAC-LIC-55816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "SKOCILICH",
            "middle_name": "MARIE",
            "credential": "LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; 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.