Individual provider Active NPI

Myles Montaque

  • Addiction (Substance Use Disorder) Counselor
  • Canton, MI
National Provider Identifier
1144134834
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
7752 N Canton Center Rd
Canton, MI 48187-1328
Phone
(815) 474-6305
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

7752 N Canton Center Rd
Canton, MI 48187-1328

Mailing address

1960 Woodbury Dr
Ann Arbor, MI 48104-4679

Other practice location 1

575 S Main St Ste 6
Plymouth, MI 48170-1778
Phone (815) 474-6305

Other practice location 2

30671 Stephenson Hwy Ste C
Madison Heights, MI 48071-1652
Phone (815) 474-6305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1144134834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 WOODBURY DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7752 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871328",
            "telephone_number": "815-474-6305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 S Main St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481701778",
            "country_code": "US",
            "telephone_number": "815-474-6305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30671 Stephenson Hwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480711652",
            "country_code": "US",
            "telephone_number": "815-474-6305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTAQUE",
        "first_name": "MYLES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.