Active NPI
Rachel Annmarie Sargent Deveraux, LAC
- Addiction (Substance Use Disorder) Counselor
- Helena, MT
National Provider Identifier
1679106108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- BBH-LAC-LIC-48383
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LAC-LIC-48383 | MT | MD | Addiction (Substance Use Disorder) Counselor |
| BBHACLCLIC42628 | MT | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Young Womens Christian Association | Addiction (Substance Use Disorder) | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Helena, MT
- NPI 1629611397
Addiction (Substance Use Disorder)
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.