Individual provider Active NPI

Rachel Annmarie Sargent Deveraux, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Helena, MT
National Provider Identifier
1679106108
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
BBH-LAC-LIC-48383 Issued in MT
Practice address
501 N Park Ave
Helena, MT 59601-2703
Phone
(406) 442-8774
Fax
(406) 442-0428
NPI assigned
Feb 12, 2020
Last updated
Apr 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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 BBHACLCLIC42628 MT
Addiction (Substance Use Disorder) Counselor 101YA0400X BBH-LAC-LIC-48383 MT Primary

Addresses

Primary practice location

501 N Park Ave
Helena, MT 59601-2703

Mailing address

PO Box 518
Helena, MT 59624-0518
Phone (406) 442-8774

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LAC-LIC-48383MTMDAddiction (Substance Use Disorder) Counselor
BBHACLCLIC42628MTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Young Womens Christian Association Addiction (Substance Use Disorder) CurrentSince Apr 25, 2021 Accepting new patients

Locations

501 N Park Ave
Helena, MT 59601
Phone (406) 417-0644

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1679106108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 518",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596240518",
            "telephone_number": "406-442-8774",
            "fax_number": "406-442-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N PARK AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596012703",
            "telephone_number": "406-442-8774",
            "fax_number": "406-442-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVERAUX",
        "first_name": "RACHEL",
        "middle_name": "ANNMARIE SARGENT",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBHACLCLIC42628",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LAC-LIC-48383",
            "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 Apr 21, 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.