Individual provider Active NPI

Raylene Vassau, LAC, PCLC

  • Addiction (Substance Use Disorder) Counselor
  • Miles City, MT
National Provider Identifier
1093423121
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
BHH-LAC-LIC-66030 Issued in MT
Practice address
2911 Wilson St
Miles City, MT 59301-5722
Phone
(406) 234-2929
NPI assigned
Nov 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X BHH-LAC-LIC-66030 MT Primary

Addresses

Primary practice location

2911 Wilson St
Miles City, MT 59301-5722

Mailing address

2911 Wilson St
Miles City, MT 59301-5722
Phone (406) 234-2929

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
I20250916003169 MT Practitioner - Mental Health Counselor 6709380561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Two Rivers WellnessGroup PAC ID 8123445434, 2 clinicians

Practice addresses (Care Compare)

2911 Wilson St
Miles City, MT 59301-5722
Phone (406) 234-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BHH-LAC-LIC-66030MTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Two Rivers Wellness CurrentSince May 31, 2025 Accepting new patients

Locations

2911 Wilson St
Miles City, MT 59301
Phone (406) 234-2929

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.

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1093423121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 WILSON ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593015722",
            "telephone_number": "406-234-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 WILSON ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593015722",
            "telephone_number": "406-234-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSAU",
        "first_name": "RAYLENE",
        "credential": "LAC, PCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BHH-LAC-LIC-66030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miles City, MT

Sources for this page

Verify at the official NPI Registry.