Individual provider Active NPI

Julie A Fleck, L.C.S.W.

  • Clinical Social Worker
  • St. Ignatius, MT
National Provider Identifier
1972790830
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-304 Issued in MT
Practice address
17437 Cold Creek LN
St. Ignatius, MT 59865-0683
Phone
(406) 885-4074
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X BBH-LAC-LIC-64333 MT
Marriage & Family Therapist 106H00000X BBH-LMFT-LIC-38855 MT
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-304 MT Primary

Addresses

Primary practice location

17437 Cold Creek LN
St. Ignatius, MT 59865-0683

Mailing address

PO Box 683
St Ignatius, MT 59865-0683
Phone (406) 885-4074

Other identifiers 1

IdentifierTypeStateIssuer
000502294MedicaidMT

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
I20100513000219 MT Practitioner - Clinical Social Worker 2567590540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunburst Health LLCGroup PAC ID 9335491612, 5 clinicians

Practice addresses (Care Compare)

2282 US Hwy 93 S
Kalispell, MT 59901-8499
Phone (406) 890-2570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LAC-LIC-64333MTMDAddiction (Substance Use Disorder) Counselor
304MTMDClinical Psychologist
BBH-LCSW-LIC-304MTMDClinical Social Worker
BBH-LMFT-LIC-38855MTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Koinonia Current Accepting new patients
Sunburst Health LLC Addiction (Substance Use Disorder) CurrentSince Dec 5, 2025 Accepting new patients

Locations

2282 US Highway 93 S
Apt 1
Kalispell, MT 59901
Phone (406) 745-8721

2282 US Highway 93 S
Kalispell, MT 59901
Phone (406) 756-8721

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1972790830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "598650683",
            "telephone_number": "406-885-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17437 COLD CREEK LN",
            "city": "ST. IGNATIUS",
            "state": "MT",
            "postal_code": "598650683",
            "telephone_number": "406-885-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLECK",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LAC-LIC-64333",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MT",
            "license": "BBH-LMFT-LIC-38855",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000502294",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Ignatius, MT

Sources for this page

Verify at the official NPI Registry.