Individual provider Active NPI

Nicole Monta

  • Clinical Social Worker
  • Rochester, MI
National Provider Identifier
1003296294
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095746 Issued in MI
Practice address
900 W University Dr Ste B2
Rochester, MI 48307-1817
Phone
(248) 710-0511
Fax
(248) 294-1106
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801095746 MI Primary

Addresses

Primary practice location

900 W University Dr Ste B2
Rochester, MI 48307-1817

Mailing address

1322 Arbor Creek Dr
Rochester Hills, MI 48306-3700
Phone (517) 614-2925

Other identifiers 1

IdentifierTypeStateIssuer
M530630139711MedicaidMI

Other names 1

  • Dr. Nicole Parker Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801095746MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nicole Monta Psychotherapy, PLC CurrentSince Nov 10, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1003296294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 ARBOR CREEK DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483063700",
            "telephone_number": "517-614-2925",
            "fax_number": "248-294-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W UNIVERSITY DR STE B2",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071817",
            "telephone_number": "248-710-0511",
            "fax_number": "248-294-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTA",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M530630139711",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "PARKER",
            "prefix": "DR.",
            "credential": "PHD LMSW LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.