Danielle Josephine Stack, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

38719 Issued in MT

Practice address

304 Gallatin Park Dr Unit 108
Bozeman, MT 59715-7907

Phone

(406) 510-1939

NPI assigned

Aug 16, 2020

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

State licenses

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

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1851902423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 WATER LILY DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187777",
            "telephone_number": "507-351-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 GALLATIN PARK DR UNIT 108",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597157907",
            "telephone_number": "406-510-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACK",
        "first_name": "DANIELLE",
        "middle_name": "JOSEPHINE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-16",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "38719",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey C Squire, OD
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• St. Vincent Healthcare
• Carol Burroughs Staben, LCPC
• Evynn Elizabeth Stagg
• Allyssa Staker, MS, SWLC
• Shannon Staley
• Lisa B Stalker, RNFA
• Sylwia B. Stamm-Nawrocka, LCPC

• Mental Health Counselor in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.