Angela Deshano, ACLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

BBH-ACLC-LIC-72760 Issued in MT

Practice address

2216 Boothill CT Ste 3
Bozeman, MT 59715-7215

Phone

(406) 600-5007

NPI assigned

Oct 16, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Forty One Behavioral Health, PLLC

  • Addiction (Substance Use Disorder) Counselor
  • Bozeman, MT
  • NPI 1417897984

  Addiction (Substance Use Disorder)

  NPD
• Sunburst Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Missoula, MT
  • NPI 1093297764

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1801616487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 BOOTHILL CT STE 3",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597157215",
            "telephone_number": "406-600-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 BOOTHILL CT STE 3",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597157215",
            "telephone_number": "406-600-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHANO",
        "first_name": "ANGELA",
        "credential": "ACLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-ACLC-LIC-72760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Reta Dennis, L.C.S.W.
• Kristen Dennis
• Leigh Dennis, LMT
• Depth of Wellness LLC
• Justine M. Derousse, PA-C
• Siri Devlin, LCPC
• Autumn Devries, LMT
• Shannyn Sarah Dewey, CNM
• Jacina Joy Dezell
• Michael C Dicello, MD

• All providers in Bozeman, MT
• Addiction (Substance Use Disorder) Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.