Individual provider Active NPI

Carter Montgomery, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1174249502
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH25489 Issued in FL
Practice address
5776 Saint Augustine Rd # 8030
Jacksonville, FL 32207-8046
Phone
(904) 518-2727
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 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
Mental Health Counselor 101YM0800X MH25489 FL Primary

Addresses

Primary practice location

5776 Saint Augustine Rd # 8030
Jacksonville, FL 32207-8046

Mailing address

5776 Saint Augustine Rd # 8030
Jacksonville, FL 32207-8046
Phone (904) 518-2727

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmontgomery@cgcjax.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250801001778 FL Practitioner - Mental Health Counselor 9032627088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Wind Counseling LLCGroup PAC ID 4981082559, 4 clinicians

Practice addresses (Care Compare)

2014 Delta Blvd
Tallahassee, FL 32303-4853
Phone (850) 445-2476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH25489FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Wind Counseling LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

78 11th St
Ste 3A
Apalachicola, FL 32320

2014 Delta Blvd
Tallahassee, FL 32303
Phone (850) 445-2476

230 John Knox Rd
Ste 1
Tallahassee, FL 32303
Phone (850) 901-9474

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": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1174249502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5776 SAINT AUGUSTINE RD # 8030",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078046",
            "telephone_number": "904-518-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5776 SAINT AUGUSTINE RD # 8030",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078046",
            "telephone_number": "904-518-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "CARTER",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH25489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmontgomery@cgcjax.org",
            "affiliation": "N",
            "address_1": "5776 Saint Augustine Rd # 8030",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322078046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.