Renee Vaillancourt McGrath, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

BBH-LCPC-LIC-50721 Issued in MT

Practice address

1044 Iron Cap Drive
Stevensville, MT 59870

Phone

(406) 360-8537

Fax

(406) 493-1044

NPI assigned

Nov 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Realization Therapy, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stevensville, MT
  • NPI 1336701473
  NPD Authorized official

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1437814043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 IRON CAP DRIVE",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "59870",
            "telephone_number": "406-360-8537",
            "fax_number": "406-493-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 IRON CAP DRIVE",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "59870",
            "telephone_number": "406-360-8537",
            "fax_number": "406-493-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRATH",
        "first_name": "RENEE",
        "middle_name": "VAILLANCOURT",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2024-02-07",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61377190",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-LIC-50721",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C7072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Daly Memorial Hospital Corporation
• Marcus Daly Memorial Hospital Corporation
• Alisa Martin, MS CCC-SLP
• Brianna Marie Massey
• Colleen Kathryn McCann-Lillie
• William J McNulty, D.C.
• Alyssa Leigh Meinhold
• Michelle Lynn Metcalf, MD
• Michelle Bayala Meyer, LMSW
• Mid-Valley Chiropractic

• All providers in Stevensville, MT
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.