Active NPI
Kathie Roxanne Deschaine, MS, LPC, LAC
- Mental Health Counselor
- Thornton, CO
National Provider Identifier
1891824967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401009603
- Practice address
- 8931 Huron St.
Thornton, CO 80260 - Phone
- (248) 624-3811
- Fax
- (248) 624-0368
- NPI assigned
- Mar 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401009603 | MI | Primary |
Addresses
Primary practice location
8931 Huron St.
Thornton, CO 80260
Mailing address
8931 Huron St.
Thornton, CO 80260
Phone (248) 858-7766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1883825 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231221003291 | CO | Practitioner - Mental Health Counselor | 8224488895 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Freedomchoice LLC
Practice addresses (Care Compare)
5655 S Yosemite St
Suite 109
Greenwood Village, CO 80111-3219
Phone (720) 213-5955
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401009603 | MI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedomchoice LLC | Current | Accepting new patients | |
| Freedomchoice LLC | Mental Health | Past | Accepting new patients |
Locations
5655 S Yosemite St
Ste 109
Greenwood Village, CO 80111
Phone (720) 213-5955
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366329600000",
"number": "1891824967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8931 HURON ST.",
"city": "THORNTON",
"state": "CO",
"postal_code": "80260",
"telephone_number": "248-858-7766",
"fax_number": "248-858-7201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8931 HURON ST.",
"city": "THORNTON",
"state": "CO",
"postal_code": "80260",
"telephone_number": "248-624-3811",
"fax_number": "248-624-0368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESCHAINE",
"first_name": "KATHIE",
"middle_name": "ROXANNE",
"name_prefix": "Mrs.",
"credential": "MS, LPC, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2013-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401009603",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1883825",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.