Active NPI
Patricia Jean Desrochers, MA
- Marriage & Family Therapist
- Montpelier, VT
National Provider Identifier
1659566693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 100.0108298
- Practice address
- 174 Elm St
Montpelier, VT 05602-2262 - Phone
- (802) 505-0827
- NPI assigned
- Sep 12, 2007
- Last updated
- Dec 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RC00051059 | WA | |
| Marriage & Family Therapist | 106H00000X | 100.0108298 | VT | Primary |
Addresses
Primary practice location
174 Elm St
Montpelier, VT 05602-2262
Mailing address
PO Box 73
Montpelier, VT 05601-0073
Phone (802) 505-0827
Medicare participation
Medicare enrollment files- 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
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00051059 | WA | MD | Mental Health Counselor |
| 100.0108298 | VT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418169600000",
"number": "1659566693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73",
"city": "MONTPELIER",
"state": "VT",
"postal_code": "056010073",
"telephone_number": "802-505-0827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 ELM ST",
"city": "MONTPELIER",
"state": "VT",
"postal_code": "056022262",
"telephone_number": "802-505-0827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESROCHERS",
"first_name": "PATRICIA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-12",
"last_updated": "2014-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "RC00051059",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VT",
"license": "100.0108298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montpelier, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.