Leslie Haaland Dominick, MS, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

BBH-LCPC-LIC-50557 Issued in MT

Practice address

2050 Fairway Dr Ste 203
Bozeman, MT 59715-5810

Phone

(406) 478-6611

NPI assigned

Dec 29, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sukha Counseling Services, LLC

  • Mental Health Counselor
  • Bozeman, MT
  • NPI 1518623263
  NPD

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1821758012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10619 KELLY CANYON RD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597159688",
            "telephone_number": "406-478-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 FAIRWAY DR STE 203",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597155810",
            "telephone_number": "406-478-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINICK",
        "first_name": "LESLIE",
        "middle_name": "HAALAND",
        "name_prefix": "Ms.",
        "credential": "MS, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-LIC-50557",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-50557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna C Dodge, CCH
• Brennan Thomas Dodson, MD
• Susan J Dolan, PA-C
• Kelsey Grace Doll, NP
• Rose Almeter Dominey, LCSW
• Patrick Michael Donahoe, EDD
• Danielle Doubek
• Cari Douglass
• Samantha M. Doverspike, DPT
• Lawrence Andrew Dowdin

• Professional Counselor in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.