Patricia Jean Desrochers, MA
Individual provider Active NPI Marriage & Family Therapist · Montpelier, VT
NPI 1659566693 · NPPES record last updated Dec 10, 2014
Key facts
- NPI
- 1659566693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 100.0108298 (VT)
- Practice address
- 174 Elm St
Montpelier, VT 05602-2262 - Phone
- (802) 505-0827
- NPI assigned
- Sep 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 14, 2024 through Mar 14, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00051059 | WA | MD | Mental Health Counselor |
| 100.0108298 | VT | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RC00051059 | WA | |
| Marriage & Family Therapist | 106H00000X | 100.0108298 | VT | Yes |
Addresses
Primary practice location
174 Elm St
Montpelier, VT 05602-2262
Mailing address
PO Box 73
Montpelier, VT 05601-0073
Phone (802) 505-0827
Other providers in Montpelier, VT
- Debbie S Deforge
- Deborah A Degraff
- Michele Boyd Delaney
- Dana Demartino
- Jimmy Denison
- Jane Devereux
- Jennette Difazio
- Marcia A. Dion
- Doctor Anne
- Doctor Anne, PLC
All providers in Montpelier, VT · Marriage & Family Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.