Individual provider Active NPI

Montina Myers-Galloway, LCMHC, NCC

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1144764838
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12605 Issued in NC
Practice address
421 S Sharon Amity Rd Ste C
Charlotte, NC 28211-2879
Phone
(704) 750-1889
Fax
(704) 519-2683
NPI assigned
Dec 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12605 NC Primary

Addresses

Primary practice location

421 S Sharon Amity Rd Ste C
Charlotte, NC 28211-2879

Mailing address

421 S Sharon Amity Rd Ste C
Charlotte, NC 28211-2879
Phone (704) 750-1889

Other names 1

  • Mrs. Montina Myers-Galloway, M.Ed., Lpca, NCC Professional name

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

LicenseStateTypeSpecialty
12605NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Myers-Galloway Counseling CurrentSince Mar 1, 2022 Accepting new patients

Locations

421 S Sharon Amity Rd
Ste C
Charlotte, NC 28211
Phone (704) 750-1889

1218 East Blvd
Ste A
Charlotte, NC 28203

Organizations & group practices 1

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": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1144764838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S SHARON AMITY RD STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112879",
            "telephone_number": "704-750-1889",
            "fax_number": "704-519-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S SHARON AMITY RD STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112879",
            "telephone_number": "704-750-1889",
            "fax_number": "704-519-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS-GALLOWAY",
        "first_name": "MONTINA",
        "name_prefix": "Mrs.",
        "credential": "LCMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONTINA",
            "last_name": "MYERS-GALLOWAY, M.ED., LPCA, NCC",
            "prefix": "MRS.",
            "credential": "LPCA, NCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.