MONICA RENEE VAN DEVENTER MS, NCC
NPI 1790450633
Counselor - Mental Health in Roswell, GA
About Monica Renee Van Deventer Ms, Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONICA RENEE VAN DEVENTER MS, NCC (NPI 1790450633) is an individual mental health provider in Roswell, Georgia and active in the NPI registry since August 2021. She has opted out of Medicare through June 20, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Monica Renee Van Deventer Ms, Ncc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 20, 2024 through June 20, 2028.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSWELL, GA 30075
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 Monica Van Deventer's NPI number?
The NPI number for Monica Van Deventer is 1790450633. It was assigned to this individual provider in the NPPES registry on August 12, 2021.
Where is Monica Van Deventer located?
Monica Van Deventer practices at 45 W Crossville Rd Ste 510, Roswell, GA 30075. The listed phone number is (770) 702-2982.
What is Monica Van Deventer's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Monica Van Deventer enrolled in Medicare?
No. Monica Van Deventer has opted out of Medicare through June 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Monica Van Deventer was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Monica Renee Van Deventer, MS, NCC · NPI 1790450633
Mental Health provider in Roswell, Georgia. Individual provider, active in the CMS NPPES registry since August 12, 2021.
## Identity
- **NPI:** 1790450633 (Entity type: Individual)
- **Enumerated:** August 12, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 45 W CROSSVILLE RD STE 510, Roswell, GA 30075-2964
- **Phone:** (770) 702-2982
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 20, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** August 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1790450633) · Data from the CMS NPPES public registry.