Active NPI
Ruth Eileen Montgomery, LISW-S
- Mental Health Counselor
- Urbana, OH
National Provider Identifier
1023313376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- I 0900055-S
- Practice address
- 1150 Scioto St
Suite 200
Urbana, OH 43078-2289 - Phone
- (937) 652-4555
- Fax
- (937) 652-4945
- NPI assigned
- Jan 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | I 0900055-S | OH | Primary |
| Clinical Social Worker | 1041C0700X | I 0900055-S |
Addresses
Primary practice location
1150 Scioto St
Suite 200
Urbana, OH 43078-2289
Mailing address
PO Box 48
Urbana, OH 43078-0048
Phone (937) 652-4555
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
| License | State | Type | Specialty |
|---|---|---|---|
| I 0900055-S | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Counseling P.C. | Past | 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.
-
- Community/Behavioral Health Agency
- Traverse City, MI
- NPI 1316009012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1023313376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 48",
"city": "URBANA",
"state": "OH",
"postal_code": "430780048",
"telephone_number": "937-652-4555",
"fax_number": "937-652-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 SCIOTO ST",
"address_2": "SUITE 200",
"city": "URBANA",
"state": "OH",
"postal_code": "430782289",
"telephone_number": "937-652-4555",
"fax_number": "937-652-4945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "RUTH",
"middle_name": "EILEEN",
"name_prefix": "Ms.",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-18",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "I 0900055-S",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "I 0900055-S",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbana, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.