Individual provider Active NPI

Alyssa Montague, MA, LPC

  • Professional Counselor
  • Midland, MI
National Provider Identifier
1104173566
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401013185 Issued in MI
Practice address
133 N Saginaw Rd
Midland, MI 48640
Phone
(989) 631-0241
NPI assigned
Aug 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401013185 MI Primary

Addresses

Primary practice location

133 N Saginaw Rd
Midland, MI 48640

Mailing address

133 N Saginaw Rd
Midland, MI 48640-3350
Phone (989) 631-0241

Other practice location 1

2100 Hemmeter Rd
Saginaw, MI 48603-3944
Phone (989) 799-2100

Other names 1

  • Alyssa Limberg Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250108003611 MI Practitioner - Mental Health Counselor 0648708347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401013185MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ten Sixteen Recovery Network CurrentSince Jan 1, 2025 Accepting new patients
Ten 16 Recovery Network CurrentSince Jan 1, 2025 Accepting new patients
Ten Sixteen Recovery Network Past Accepting new patients

Locations

133 N Saginaw Rd
Midland, MI 48640
Phone (989) 631-0241

133 N Saginaw Rd
#Ten16
Midland, MI 48640
Phone (989) 631-0241

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1344038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1104173566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486403350",
            "telephone_number": "989-631-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "48640",
            "telephone_number": "989-631-0241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Hemmeter Rd",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486033944",
            "country_code": "US",
            "telephone_number": "989-799-2100",
            "fax_number": "989-799-2637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "ALYSSA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-04",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "LIMBERG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.