Deidre Mae Pross

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

3815 S 7TH St W
Missoula, MT 59804-1915

Phone

(406) 543-1912

NPI assigned

Dec 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Teen Challenge International Pacific Northwest Centers

  dba Life Renewal - Portland Outpatient

  • Community/Behavioral Health Agency
  • Milwaukie, OR
  • NPI 1245784222

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1225798440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 S 7TH ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598041915",
            "telephone_number": "406-543-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 S 7TH ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598041915",
            "telephone_number": "406-543-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSS",
        "first_name": "DEIDRE",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel R. Prideaux, D.C.
• Primal Practice
• Progressive Personal Care
• Michelle Ann Proper, M.D.
• Daniel Eugene Propp, M.D.
• Providence Health & Services Mt (Providence St Patrick Hospital)
• Providence Health & Services Mt (PMG MT Spine & Pain)
• Providence Health & Services Mt (Providence Medical Group Montana)
• Providence Health & Services Mt (PMG MT Trauma Services)
• Providence Health & Services Mt (Providence Medical Group Montana)

• Addiction (Substance Use Disorder) Counselor in Missoula, MT
• Providers in Missoula, MT by specialty
• Addiction (Substance Use Disorder) Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.