Individual provider Active NPI

Kelley Suzanne Clair Montes, LMFT

  • Marriage & Family Therapist
  • Weaverville, CA
National Provider Identifier
1073758991
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
114133 Issued in CA
Practice address
1450 Main Street
Weaverville, CA 96001-4246
Phone
(530) 623-1362
NPI assigned
Dec 5, 2008
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 114133 CA Primary

Addresses

Primary practice location

1450 Main Street
Weaverville, CA 96001-4246

Mailing address

PO Box 686
Weaverville, CA 96093-0686
Phone (530) 623-0789

Other practice location 1

101 Willow Street
Weaverville, CA 96093-9609
Phone (530) 623-0789

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
114133CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1073758991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 686",
            "city": "WEAVERVILLE",
            "state": "CA",
            "postal_code": "960930686",
            "telephone_number": "530-623-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MAIN STREET",
            "city": "WEAVERVILLE",
            "state": "CA",
            "postal_code": "960014246",
            "telephone_number": "530-623-1362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Willow Street",
            "address_purpose": "LOCATION",
            "city": "Weaverville",
            "state": "CA",
            "postal_code": "960939609",
            "country_code": "US",
            "telephone_number": "530-623-0789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAIR MONTES",
        "first_name": "KELLEY",
        "middle_name": "SUZANNE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "114133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weaverville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.