Individual provider Active NPI

John L Montgomery, LMHC, LMFT

  • Marriage & Family Therapist
  • Issaquah, WA
National Provider Identifier
1114099298
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF00001249 Issued in WA
Practice address
55 1St PL NW
Issaquah, WA 98027-3271
Phone
(425) 392-0277
Fax
(425) 392-2509
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00005140 WA
Marriage & Family Therapist 106H00000X LF00001249 WA Primary

Addresses

Primary practice location

55 1St PL NW
Issaquah, WA 98027-3271

Mailing address

55 1St PL NW
Issaquah, WA 98027-3271
Phone (425) 392-0277

Other identifiers 3

IdentifierTypeStateIssuer
169565OtherVALUE OPTIONS ID #
4594458OtherAETNA US HEALTHCARE #
MO9010OtherREGENCE PIN#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240125003257 WA Practitioner - Mental Health Counselor 7618320607 Practice locations: Issaquah, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1174 NE Park Dr
Issaquah, WA 98029-7410
Phone (425) 466-9916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH00005140WAMDMental Health Counselor
LF00001249WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1114099298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 1ST PL NW",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273271",
            "telephone_number": "425-392-0277",
            "fax_number": "425-392-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 1ST PL NW",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273271",
            "telephone_number": "425-392-0277",
            "fax_number": "425-392-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LMHC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00005140",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00001249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS ID #",
            "identifier": "169565",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE #",
            "identifier": "4594458",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE PIN#",
            "identifier": "MO9010",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

Verify at the official NPI Registry.