MS. MARY JANE DEBERRY (NPI# 1356552160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356552160 |
| Entity Type | Individual |
| Full Name | MS. MARY JANE DEBERRY |
| Credential | LAC |
| Practice Address |
Rural Route 1 Box 664 Box Elder MT 59521-0000 |
| Mailing Address |
Rural Route 1 Box 733 Box Elder MT 59521-0000 |
| Practice Telephone | 4063954837 |
| Practice Fax Number | 4063954861 |
| Mailing Telephone | 4069455505 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1191LAC | MT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063846327 | Mary Charles Deberry | Pharmacist | 11600 W 2nd Pl Ste 1817, Lakewood, CO 80228-1527 | 2013-08-22 |
| Street Address |
RURAL ROUTE 1 BOX 664 |
| City | BOX ELDER |
| State | MT |
| Zip Code | 59521-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864218 | Gary Palladino | Pharmacist | 5050 Upper Box Elder Rd, Box Elder, MT 59521 | 2019-07-26 |
| 1821585209 | Lisa Marie Scheresky O'neil | Registered Nurse | 6850 Upper Box Elder Road, Box Elder, MT 59521 | 2018-04-20 |
| 1437592789 | Nat's Medical Supply | Assisted Living Facility | #74 Chestnut Street, Box Elder, MT 59521 | 2013-04-16 |
| 1215585294 | Kathleen Audrey Parsons | Counselor | 6850 Upper Box Elder Rd, Box Elder, MT 59521 | 2019-09-03 |
| 1962054957 | Chettha Paul Techo | Counselor | 6850 Upper Box Elder Rd, Box Elder, MT 59521 | 2019-07-10 |
| 1194219253 | Hilary Rose Warren | Dentist | 6850 Upper Box Elder Road, Box Elder, MT 59521 | 2018-06-21 |
| 1114461928 | Carol Jean Ortman | Counselor | 6850 Upper Box Elder Rd, Box Elder, MT 59521 | 2016-12-13 |
| 1225413545 | Kevin Zoren | Counselor | 6850 Upper Box Elder Rd, Box Elder, MT 59521 | 2015-07-28 |
| 1194111278 | Angi M Disalvo | Counselor | 6850 Upper Box Elder Rd, Box Elder, MT 59521 | 2015-04-15 |
| 1245441120 | Rocky Boy Health Board Clinic | Clinic/Center | Rr 1, Box Elder, MT 59521 | 2007-05-24 |
| Find all providers in zip 59521 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770102279 | Elizabeth E Barnes | Counselor | 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 | 2020-04-14 |
| 1821617325 | Dawnie Day Deberry | Counselor | 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 | 2020-04-14 |
| 1215585294 | Kathleen Audrey Parsons | Counselor | 6850 Upper Box Elder Rd, Box Elder, MT 59521 | 2019-09-03 |
| 1104230416 | Tina King | Counselor | 535 Clinic Rd E, Box Elder, MT 59521-8826 | 2014-06-13 |
| 1770997199 | Carol Foster | Counselor | 535 Clinic Rd E, Box Elder, MT 59521-8826 | 2014-06-13 |
| 1184037707 | Gloria Little | Counselor | 535 Clinic Rd E, Box Elder, MT 59521-8826 | 2014-06-11 |
| 1396997011 | Alou Rose Horinek | Counselor | Rr 1 Box 664, Box Elder, MT 59521-9797 | 2008-10-13 |
| 1215189030 | Peter M Sutherland | Counselor | Rr 1 Box 664, Box Elder, MT 59521-9797 | 2008-10-13 |
| 1891994000 | Traci Nicole Lamere Henderson | Counselor | Rr 1 Box 664, Box Elder, MT 59521-9797 | 2007-07-17 |
| 1841400397 | Lenore Myers | Counselor | Rr 1 Box 664, Box Elder, MT 59521-9797 | 2007-05-23 |
| Find all providers in BOX ELDER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.