Active NPI
Jerry D Schlepp, M.A.,LAC
- Addiction (Substance Use Disorder) Counselor
- Glendive, MT
National Provider Identifier
1750427795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 318
- Practice address
- 119 S Kendrick Ave
Glendive, MT 59330-1626 - Phone
- (406) 377-5942
- Fax
- (406) 377-3050
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 318 | MT | Primary |
Addresses
Primary practice location
119 S Kendrick Ave
Glendive, MT 59330-1626
Mailing address
417 Hemlock Ave
Glendive, MT 59330-3113
Phone (406) 377-5942
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 318 | Other | MT | LAC |
| 004126 | Other | NCAC I | |
| 76058 | Other | MT | BCBS PROVIDER NUMBER |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 318 | MT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District II Alcohol and Drug Program | Addiction (Substance Use Disorder) | Past | 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.
-
- Addiction (Substance Use Disorder) Counselor
- Glendive, MT
- NPI 1144366246
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750427795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 HEMLOCK AVE",
"city": "GLENDIVE",
"state": "MT",
"postal_code": "593303113",
"telephone_number": "406-377-5942",
"fax_number": "406-377-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 S KENDRICK AVE",
"city": "GLENDIVE",
"state": "MT",
"postal_code": "593301626",
"telephone_number": "406-377-5942",
"fax_number": "406-377-3050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLEPP",
"first_name": "JERRY",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "M.A.,LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MT",
"license": "318",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LAC",
"identifier": "318",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCAC I",
"identifier": "004126",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "76058",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendive, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.