Individual provider Active NPI

Justen Mark Schaak, LCSW, LAC

  • Clinical Social Worker
  • Livingston, MT
National Provider Identifier
1790465151
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
72697 Issued in MT
Practice address
430 E Park St
Livingston, MT 59047-2755
Phone
(406) 222-2812
NPI assigned
Jul 20, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 63794 MT
Clinical Social Worker 1041C0700X 72697 MT Primary

Addresses

Primary practice location

430 E Park St
Livingston, MT 59047-2755

Mailing address

2651 Trade Wind LN Apt 12
Bozeman, MT 59718-4633
Phone (406) 579-4885

Other practice location 1

205 Haggerty Ln Ste 245
Bozeman, MT 59715-8800
Phone (406) 579-4885

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
63794MTMDAddiction (Substance Use Disorder) Counselor
72697MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Justen Schaak LCSW Lac LLC Addiction (Substance Use Disorder) CurrentSince Nov 18, 2025 Accepting new patients
Southwest Chemical Dependency Program PastSince Jul 23, 2023 Accepting new patients

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": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1790465151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 TRADE WIND LN APT 12",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184633",
            "telephone_number": "406-579-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E PARK ST",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590472755",
            "telephone_number": "406-222-2812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Haggerty Ln Ste 245",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597158800",
            "country_code": "US",
            "telephone_number": "406-579-4885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAAK",
        "first_name": "JUSTEN",
        "middle_name": "MARK",
        "credential": "LCSW, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-20",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "63794",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "72697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.