KC Montoya

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2102616-SUPV Issued in OH

Practice address

400 E State St
Athens, OH 45701-1856

Phone

(740) 326-6110

NPI assigned

Jan 5, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Anew Behavioral Health LLCGroup PAC ID 2567855349, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anew Behavioral Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Athens, OH
  • NPI 1215554779

  Clinical

  Medicare reassignment Care Compare group NPD
• Global Wellness Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
  • NPI 1215400924

  Clinical

  Medicare reassignment NPD
• Anew Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jamestown, OH
  • NPI 1508691106
  NPD Authorized official
• Four Points Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Mount Vernon, OH
  • NPI 1235722695
  NPD Authorized official
• Global Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, OH
  • NPI 1710445663
  NPD
• Brightlife Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1437841095
  NPD (past)
• Anew Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Keene, NH
  • NPI 1023605334

  Clinical

  NPD (past)

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1194232652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N GAY ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430501751",
            "telephone_number": "740-504-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E STATE ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011856",
            "telephone_number": "740-326-6110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6400 E Broad St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432131505",
            "country_code": "US",
            "telephone_number": "614-800-5362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "KC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-05",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2102616-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0261436",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3148165",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracey M Monroe, CDCA
• Cassandra K Montgomery, CRISIS RES SPEC
• Karen Ann Montgomery, D.O.
• Kelly S Montgomery
• Nicole Montgomery
• Samantha L Moon
• Shaelyn Mooney, SLP-CF
• Breanna Moore
• Danielle Moore
• Earnest Moore

• Clinical Social Worker in Athens, OH
• Providers in Athens, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.