Montgomery Individual and Family Therapy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4100 Issued in OK

Legal business name

MONTGOMERY INDIVIDUAL AND FAMILY THERAPY, LLC

Practice address

10306 N 138TH East Ave
Owasso, OK 74055-4665

Phone

(918) 852-9644

NPI assigned

Oct 25, 2009

Last updated

Oct 25, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ayngi Montgomery, LPCNPI 1659592277

Title

Owner

Phone

(918) 852-9644

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ayngi Montgomery, M.ED M.DIV LPC NCC

  • Professional Counselor
  • Catoosa, OK
  • NPI 1659592277
  NPD (past) Authorized official

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

{
    "created_epoch": "1256428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256428800000",
    "number": "1184950222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700082",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741700082",
            "telephone_number": "918-852-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10306 N 138TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554665",
            "telephone_number": "918-852-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY INDIVIDUAL AND FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-25",
        "last_updated": "2009-10-25",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "AYNGI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-852-9644",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "4100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hayley Marie Molina, DC
• Russell Dale Moneypenny, DO
• Melodie D Moore, PTAF
• Paula Dee Moorman, APRN, FNP-C
• Jessica Moran
• Dana Morgan
• Jeffrey Howell Morgan, DPH

• Community/Behavioral Health Agency in Owasso, OK
• Providers in Owasso, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2009; 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.