Jessica Gabrielle Montez, MA, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A15481 Issued in NC

Practice address

330 S York St
Gastonia, NC 28052-4052

Phone

(704) 864-6573

Fax

(704) 864-9791

NPI assigned

Apr 20, 2020

Last updated

Apr 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NC

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shelby Wellness and Therapy Center PLLCGroup PAC ID 1850792359, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Shelby Wellness & Therapy Center PLLC

  dba Community Wellness Partners of NC, PLLC

  • Community/Behavioral Health Agency
  • Shelby, NC
  • NPI 1831567676

  Mental Health

  Medicare reassignment Care Compare group NPD
• Bit of Hope Ranch, Inc

  • Community/Behavioral Health Agency
  • Gastonia, NC
  • NPI 1457762650

  Mental Health

  NPD (past)
• Pinnacle Family Services of North Carolina LLC

  • Community/Behavioral Health Agency
  • Gastonia, NC
  • NPI 1467829127

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1023638095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S YORK ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524052",
            "telephone_number": "704-864-6573",
            "fax_number": "704-864-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S YORK ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524052",
            "telephone_number": "704-864-6573",
            "fax_number": "704-864-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEZ",
        "first_name": "JESSICA",
        "middle_name": "GABRIELLE",
        "credential": "MA, LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Monds, RN
• Suzane Monet-Wooten, COTA
• Margaret Ruth Monroe, MD
• Alexandra Montagne, PHARMD
• Janice Huesca Montalbano, PT
• Keosha D.V. Montgomery, M.A., LPCA
• Lauren Elizabeth Montgomery, PT, DPT
• Christina Moody-Musick, CCC-SLP
• Johnny Burton Moody Jr., FNP-BC
• John Lawrence Moonan III, O.D.

• Mental Health Counselor in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.