Active NPI
Jamie Montgomery, LPC
- Professional Counselor
- Arnold, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2020014179
- Practice address
- 21 Municipal Dr
Arnold, MO 63010-1012 - Phone
- (844) 853-8937
- NPI assigned
- Jun 1, 2020
- Last updated
- Dec 29, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2020014179 | MO | Primary |
Addresses
Primary practice location
21 Municipal Dr
Arnold, MO 63010-1012
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other practice location 1
400 N Washington St Ste 229
Farmington, MO 63640-1716
Phone (573) 218-9653
Other practice location 2
16 Municipal Dr Ste D
Arnold, MO 63010-1043
Phone (636) 333-2641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Current | Accepting new patients | |
| Compass Health, Inc | Current | Accepting new patients | |
| Tender Hearts Child Therapy Center, LLC | Professional | Past | Accepting new patients |
Locations
21 Municipal Dr
Arnold, MO 63010
Phone (636) 296-6206
1800 Community
Clinton, MO 64735
Phone (660) 885-8131
1800 Community
#B
Clinton, MO 64735
110 N Mill St
Festus, MO 63028
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Compass Health Network
- Community/Behavioral Health Agency
- Clinton, MO
- NPI 1285619494
-
- Federally Qualified Health Center (FQHC)
- Rolla, MO
- NPI 1558258632
-
dba Tender Hearts Child Therapy Center
- Professional Counselor
- Cape Girardeau, MO
- NPI 1568777910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1184248601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 COMMUNITY",
"city": "CLINTON",
"state": "MO",
"postal_code": "647358804",
"telephone_number": "660-885-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 MUNICIPAL DR",
"city": "ARNOLD",
"state": "MO",
"postal_code": "630101012",
"telephone_number": "844-853-8937"
}
],
"practiceLocations": [
{
"address_1": "400 N Washington St Ste 229",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "MO",
"postal_code": "636401716",
"country_code": "US",
"telephone_number": "573-218-9653",
"fax_number": "573-803-1405",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16 Municipal Dr Ste D",
"address_purpose": "LOCATION",
"city": "Arnold",
"state": "MO",
"postal_code": "630101043",
"country_code": "US",
"telephone_number": "636-333-2641",
"fax_number": "573-803-1405",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "JAMIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-01",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2020014179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arnold, MO
- Missouri Dental Professionals, Richard Straus, DMD, PC (Family Dentistry of Arnold)
- Missouri Dental Professionals, Richard Straus, DMD, PC (Arnold Dental Center)
- Missouri Spine Associates, LLC (Missouri Spine and Pain Management)
- Catherine Money, DC
- Amy Montgomery
- Amber Morgan, OTR
- Lawrence Morganfield III
- Nicole Mowery
- Mohammed Mroueh
- Larisa Mujakic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.