Individual provider Active NPI

Adrian Garrett Sagan, LCSW, LAC

  • Clinical Social Worker
  • Helena, MT
National Provider Identifier
1124482401
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
BBH-LCSW-LIC-16707 Issued in MT
Practice address
825 Helena Ave
Helena, MT 59601-3459
Phone
(303) 918-0283
NPI assigned
Apr 12, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LAC-LAC-LIC-3435 MT
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-16707 MT Primary

Addresses

Primary practice location

825 Helena Ave
Helena, MT 59601-3459

Mailing address

825 Helena Ave
Helena, MT 59601-3459
Phone (303) 918-0283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LAC-LAC-LIC-3435MTMDAddiction (Substance Use Disorder) Counselor
BBH-LCSW-LIC-16707MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Adrian Sagan PLLC Addiction (Substance Use Disorder) Current Accepting new patients

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": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1124482401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 HELENA AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013459",
            "telephone_number": "303-918-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 HELENA AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013459",
            "telephone_number": "303-918-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGAN",
        "first_name": "ADRIAN",
        "middle_name": "GARRETT",
        "name_prefix": "Mr.",
        "credential": "LCSW, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "LAC-LAC-LIC-3435",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-16707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.