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 EnrolledAccepts Medicare Assignment
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: August 02, 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 and is a graduate of Other (2020).

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
Medical School CMSOtherGraduated 2020
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaclyn Suden Lac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002338639
PECOS Enrollment IDI20250326002873
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.

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
ERIKA M BRYAN PA -C
Physician Assistant (Medical)
601 1ST AVE N
GREAT FALLS, MT 59401
Cascade County (406) 454-6973
LEESHA P FORD MSN, RNC-OB, CNE
Registered Nurse
601 1ST AVE N
GREAT FALLS, MT 59401
Cascade County (406) 799-0587

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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.