David Joseph Montecino, LADC, ADCR-MN, NCPT3

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

302378 Issued in MN

Practice address

15 Washington St
Suite 4
Brainerd, MN 56401-3351

Phone

(612) 454-2456

NPI assigned

Apr 6, 2011

Last updated

Aug 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1174812549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MERCY CIRCLE",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "760-763-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WASHINGTON ST",
            "address_2": "SUITE 4",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013351",
            "telephone_number": "612-454-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTECINO",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LADC, ADCR-MN, NCPT3",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-06",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Gary Mohrenweiser, CRNA
• Michael Monda, OD
• Steven Todd Monda, O.D.
• Dustin R Monson, LMFT
• Jane Terese Monson, LICSW
• Desiree Ann Montonye Johnson, LADC
• Sadie Moore, CCC-SLP
• Thomas J Moraghan, MD
• Teresia Mortenson, MSW, LICSW
• Megan Kay Mueller, MS

• Addiction (Substance Use Disorder) Counselor in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.