Individual provider Active NPI

Sarah Ann Perrault, LCPC, LAC

  • Mental Health Counselor
  • Sidney, MT
National Provider Identifier
1760940027
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BBH-LCPC-LIC-44272 Issued in MT
Practice address
1405 4TH St SW
Suite 2
Sidney, MT 59270
Phone
(406) 643-4095
Fax
(406) 433-3586
NPI assigned
Mar 6, 2019
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X BBH-LAC-LIC-38100 MT
Addiction (Substance Use Disorder) Counselor 101YA0400X BBH-ACLC-LIC-30295 MT
Mental Health Counselor 101YM0800X BBH-PCLC-LIC-31487 MT
Mental Health Counselor 101YM0800X BBH-LCPC-LIC-44272 MT Primary

Addresses

Primary practice location

1405 4TH St SW
Suite 2
Sidney, MT 59270

Mailing address

PO Box 362
Sidney, MT 59270-0362
Phone (406) 230-1397

Other identifiers 1

IdentifierTypeStateIssuer
100001540MedicaidMT

Other names 1

  • Sarah Ann Mason Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Sarah@sunrisewellnessmt.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501000306 MT Practitioner - Mental Health Counselor 5890138523 Practice locations: Sidney, MT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1405 4TH St SW
Suite 2
Sidney, MT 59270-3515
Phone (406) 643-4095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-ACLC-LIC-30295MTMDAddiction (Substance Use Disorder) Counselor
BBH-LAC-LIC-38100MTMDAddiction (Substance Use Disorder) Counselor
BBH-PCLC-LIC-31487MTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Wellness Center, LLC Addiction (Substance Use Disorder) CurrentSince Aug 1, 2019 Accepting new patients
Roger a Anderson O.D. P.C. PastSince Jul 28, 2019 Accepting new patients

Locations

1405 4th St SW
Ste 2
Sidney, MT 59270
Phone (406) 488-2705

216 E Main St
Ste 2
Sidney, MT 59270
Phone (406) 643-4095

Interoperability endpoints

  • Direct secure messaging: sarah@sunrisewellnessmt.org

Organizations & group practices 2

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": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1760940027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592700362",
            "telephone_number": "406-230-1397",
            "fax_number": "406-433-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 4TH ST SW",
            "address_2": "SUITE 2",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "59270",
            "telephone_number": "406-643-4095",
            "fax_number": "406-433-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRAULT",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCPC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LAC-LIC-38100",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-ACLC-LIC-30295",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-PCLC-LIC-31487",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-LIC-44272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001540",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sarah@sunrisewellnessmt.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1405 4th St SW Ste 2",
            "city": "Sidney",
            "state": "MT",
            "country_code": "US",
            "postal_code": "592703515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "MASON",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sidney, MT

Sources for this page

Verify at the official NPI Registry.