Active NPI
Kelley Suzanne Clair Montes, LMFT
- Marriage & Family Therapist
- Weaverville, CA
National Provider Identifier
1073758991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 114133
- Practice address
- 1450 Main Street
Weaverville, CA 96001-4246 - Phone
- (530) 623-1362
- NPI assigned
- Dec 5, 2008
- Last updated
- Nov 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 114133 | CA | MD | Marriage & 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
- Sherry Ivana Chandler
- Nancy Chapman, CARR
- Jil Chipman, MFT
- Winterhawk James Christie, RDH
- Connie Lee Cibart, MA
- Amanda Cloud
- Jennifer Comiskey, AMFT
- County of Trinity (Trinity County Behavioral Health Services BILLING & CLAIMS)
- County of Trinity (Cedar Home Peer Respite)
- Christine Cunningham, PT, DPT
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.