MONICA RENEE VAN DEVENTER MS, NCC
NPI 1790450633
Counselor - Mental Health in Roswell, GA
- Individual
- Female
- Counselor
- Mental Health
- Opted-Out Medicare
About MONICA VAN DEVENTER
This page provides the complete NPI Profile along with additional information for Monica Van Deventer, a provider established in Roswell, Georgia with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1790450633 assigned on August 2021. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1790450633 Verify this NPI
- Provider Name
- MONICA RENEE VAN DEVENTER MS, NCC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 45 W CROSSVILLE RD STE 510 ROSWELL, GA 30075
- Location Phone
- (770) 702-2982
- Mailing Address
- 1515 BELCOURT PKWY APT 1515 ROSWELL, GA 30076
- Mailing Phone
- (706) 312-4322
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-12-2021
- Last Update Date
- 08-18-2021
- Code Navigator
A mental health counselor like Monica Van Deventer provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Monica Van Deventer opted out of Medicare effective on 06-20-2024 until 06-20-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License State
- GA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 06-20-2024
Opt-Out End Date: 06-20-2026
Eligible to Order and Refer? No
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
ROSWELL, GA 30075
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790450633, enumerated as an "individual" on August 12, 2021.
The provider is located at 45 W CROSSVILLE RD STE 510 ROSWELL, GA 30075 and the phone number is (770) 702-2982.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
