1. Home
  2. Directory
  3. Montana
  4. Great Falls
  5. Counselor
  6. NPI Profile

JACLYN SUDEN LAC
NPI 1124794540
Counselor - Addiction (Substance Use Disorder) in Great Falls, MT

Active since August 17, 2021PECOS Enrolled
601 1ST AVE N, GREAT FALLS, MT 59401(406) 454-6973(406) 791-9277 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 27, 2023, Dec 19, 2022, Aug 17, 2021 (3 updates tracked since 2021).

About Jaclyn Suden Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN SUDEN LAC (NPI 1124794540) is an individual addiction (substance use disorder) provider in Great Falls, Montana, licensed in Montana (BBH-LAC-LIC-50450) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124794540
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACLYN SUDENCredential: LAC
Location Address601 1ST AVE NGreat Falls, MT 59401-2510
Mailing Address601 1st Ave NGreat Falls, MT 59401-2510 · (406) 454-6973 · Fax (406) 791-9277
Phone(406) 454-6973
Fax(406) 791-9277
Sole ProprietorYes
Enumeration DateAugust 17, 2021
Last NPPES UpdateJanuary 27, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2023
✔ NPI 1124794540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MT · BBH-LAC-LIC-50450
601 1ST AVE N, Great Falls, MT 59401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Suden Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jaclyn Suden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Green Apple Counseling, LLC
1.1 mi
Rehabilitation, Substance Use Disorder
1500 10TH AVE S STE 200
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 4 clinicians in this Medicare group
NPI 1336760693 (406) 866-0350

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BALANCE PHYSICAL THERAPY LLC
Clinic/Center (Physical Therapy)
601 1ST AVE N
GREAT FALLS, MT 59401
Cascade County (406) 750-9925
MARY E WILKINSON ACLC
Counselor (Addiction (Substance Use Disorder))
601 1ST AVE N
GREAT FALLS, MT 59401
Cascade County (406) 454-6973
DEBORAH JEAN PATE M.S., LCPC, ACLC
Counselor (Professional)
601 1ST AVE N
GREAT FALLS, MT 59401
Cascade County (406) 454-6973
TONI RENEE DESJARDIN LAC
Counselor (Addiction (Substance Use Disorder))
601 1ST AVE N
GREAT FALLS, MT 59401
Cascade County (406) 454-6973
ADLERA LABORATORY LLC
Clinical Medical Laboratory
601 1ST AVE N
GREAT FALLS, MT 59401
Cascade County (406) 454-6973
MRS. SARAH ALEXANDRA THOMPSON RN
Registered Nurse (Community Health)
601 1ST AVE N
GREAT FALLS, MT 59401
Cascade County (406) 454-6973
MADELYN R NAUGLE PA-C
Physician Assistant (Medical)
601 1ST AVE N
GREAT FALLS, MT 59401
Cascade County (406) 454-6973
ERIKA M BRYAN PA -C
Physician Assistant (Medical)
601 1ST AVE N
GREAT FALLS, MT 59401
Cascade County (406) 454-6973

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Suden's NPI number?

The NPI number for Jaclyn Suden is 1124794540. It was assigned to this individual provider in the NPPES registry on August 17, 2021.

Where is Jaclyn Suden located?

Jaclyn Suden practices at 601 1st Ave N, Great Falls, MT 59401. The listed phone number is (406) 454-6973.

What is Jaclyn Suden's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Jaclyn Suden enrolled in Medicare?

Yes. Jaclyn Suden is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jaclyn Suden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Suden reassigns Medicare benefits to Green Apple Counseling, LLC (Great Falls, MT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaclyn Suden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaclyn Suden accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Jaclyn Suden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaclyn Suden was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.