Individual provider Active NPI

Rachel R. Jergenson, PSYD

  • Psychologist
  • Livingston, MT
National Provider Identifier
1093871006
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
124 S Main St Ste 204
Livingston, MT 59047-2664
Phone
(406) 224-0727
NPI assigned
Dec 28, 2006
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

124 S Main St Ste 204
Livingston, MT 59047-2664

Mailing address

124 S Main St Ste 204
Livingston, MT 59047-2664
Phone (406) 224-0727

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
I20090129000296 MT Practitioner - Clinical Psychologist 0446314801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

124 S Main St
Suite 204
Livingston, MT 59047-2664
Phone (406) 224-0727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yellowstone Psychotherapy Psychologist CurrentSince Jun 29, 2016 Accepting new patients

Locations

124 S Main St
Apt 212
Livingston, MT 59047
Phone (406) 224-0727

124 S Main St
Ste 201
Livingston, MT 59047
Phone (406) 224-0727

124 S Main St
Ste 204
Livingston, MT 59047
Phone (406) 224-0727

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1093871006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S MAIN ST STE 204",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590472664",
            "telephone_number": "406-224-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S MAIN ST STE 204",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590472664",
            "telephone_number": "406-224-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERGENSON",
        "first_name": "RACHEL",
        "middle_name": "R.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, MT

Sources for this page

Verify at the official NPI Registry.