Individual provider Active NPI

Amy Dandliker, LCPC

  • Professional Counselor
  • Missoula, MT
National Provider Identifier
1689091365
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7778 Issued in MT
Practice address
1721 Humble Rd
Missoula, MT 59804-5089
Phone
(406) 698-1954
NPI assigned
Mar 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7778 MT Primary

Addresses

Primary practice location

1721 Humble Rd
Missoula, MT 59804-5089

Mailing address

2814 Brooks St # 153
Missoula, MT 59801-7718
Phone (406) 698-1954

Other names 1

  • Amy Perkic Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240529000869 MT Practitioner - Mental Health Counselor 0446692057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2829 Great Northern Loop
Suite B110
Missoula, MT 59808-1752
Phone (406) 698-1954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7778MTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Counseling PLLC Professional CurrentSince Apr 9, 2024 Accepting new patients
Rene Lindeen LLC PastSince Oct 10, 2018 Accepting new patients

Locations

2829 Great Northern Loop
Ste B110
Missoula, MT 59808
Phone (406) 698-1954

2814 Brooks St
Missoula, MT 59801

Organizations & group practices 2

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": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1689091365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 BROOKS ST # 153",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017718",
            "telephone_number": "406-698-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 HUMBLE RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598045089",
            "telephone_number": "406-698-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANDLIKER",
        "first_name": "AMY",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "7778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "PERKIC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.