Active NPI
Lori Runyan Montgomery, LPC-A
- Professional Counselor
- Grapevine, TX
National Provider Identifier
1104592252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 86683
- Practice address
- 1452 Hughes Rd Ste 200
Grapevine, TX 76051-9221 - Phone
- (682) 233-4325
- NPI assigned
- Aug 18, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 86683 | TX | Primary |
Addresses
Primary practice location
1452 Hughes Rd Ste 200
Grapevine, TX 76051-9221
Mailing address
1240 Robin Dr
Keller, TX 76262-9301
Phone (817) 706-4299
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 |
|---|---|---|---|
| 86683 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1104592252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 ROBIN DR",
"city": "KELLER",
"state": "TX",
"postal_code": "762629301",
"telephone_number": "817-706-4299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1452 HUGHES RD STE 200",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760519221",
"telephone_number": "682-233-4325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "LORI",
"middle_name": "RUNYAN",
"name_prefix": "Mrs.",
"credential": "LPC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-18",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "86683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.