Rob Degolier, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1143 Issued in MT

Practice address

29 1/2 W Cottonwood Dr
Kalispell, MT 59901-2800

Phone

(406) 885-3726

NPI assigned

Mar 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Mental Health Counselor

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Mental HealthGroup PAC ID 3072416676, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Center for Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Great Falls, MT
  • NPI 1144251885
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1851422299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10926",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599043926",
            "telephone_number": "406-885-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 1/2 W COTTONWOOD DR",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012800",
            "telephone_number": "406-885-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGOLIER",
        "first_name": "ROB",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "1143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000076391",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0320372",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pieter Albert De Lepper, P.T., OCS, CERT. MDT
• Jose C De Souza, MD
• Mary C De Souza, MSP ANP
• Cindy Jo Dean
• Erika Anne Decree, CRNP
• Meghan Elizabeth Degroot, FNP-BC
• Thomas A. Dehoop, M.D.
• Danielle Alexis Deines, D.O.
• Camille Deitz, LCPC
• Delepper Physical Therapy PC

• Addiction (Substance Use Disorder) Counselor in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Addiction (Substance Use Disorder) Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.