Jared Thayer Montague, ALC, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

ALC04482 Issued in AL

Practice address

1117 22ND St S Ste 208
Birmingham, AL 35205-2813

Phone

(205) 319-6222

NPI assigned

Jun 20, 2023

Last updated

Jun 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Apollo Counseling and Mental Health Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Birmingham, AL
  • NPI 1124654421
  NPD

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1003591751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 2ND AVE S APT 328",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332075",
            "telephone_number": "423-440-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 22ND ST S STE 208",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052813",
            "telephone_number": "205-319-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "JARED",
        "middle_name": "THAYER",
        "credential": "ALC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "AL",
            "license": "ALC04482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blythe Elizabeth Monheit, M.D.
• Gary D. Monheit, MD
• Donald M Monroe, CRNA
• Kathy W Monroe, MD
• Makenna Brooke Monroy
• Janavi Devi Nathalie Montas Bello
• Montclair Psychiatric Services PC (Frank Kay Clinic)
• Montclair Rheumatology, PC
• Montclair Road Imaging, LLC (ImageSouth Montclair Road)
• Tamara Emmalyn Montes, MS, MED

• Counselor in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.