Rebekah Dove Montgomery, PHD, LPC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401013825 Issued in MI

Practice address

7800 W Outer Dr Ste LL04
Detroit, MI 48235-3461

Phone

(734) 255-4000

NPI assigned

Apr 23, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Dove'S Heart Counseling, LLC

  • Mental Health Counselor
  • Detroit, MI
  • NPI 1346002581
  Medicare reassignment NPD Authorized official
• Growing Well Clinical Therapy LLC

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1588259881
  NPD

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1013337542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 972844",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481970323",
            "telephone_number": "734-255-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 W OUTER DR STE LL04",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353461",
            "telephone_number": "734-255-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "343 S Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481042116",
            "country_code": "US",
            "telephone_number": "734-255-4000",
            "fax_number": "313-766-5882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "REBEKAH",
        "middle_name": "DOVE",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401013825",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretal Jean Montgomery, M.A.
• Joe Edward Montgomery
• Mallory Montgomery, MS, ATR-BC
• Nishara Montgomery
• Odessa Montgomery
• Zack Allen Montgomery
• Zelda Montgomery
• Nicole Rose Monti, DNP, APRN, FNP-BC
• Kristofer Montoya, MD
• Peter Montrie, CRNA

• Mental Health Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.