Active NPI
Michelle Elise Montoney, LCPC-C
- Counselor
- South Portland, ME
National Provider Identifier
1205138583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- XL3640
- Practice address
- 1486 Broadway
Unit B
South Portland, ME 04106-2602 - Phone
- (207) 468-0340
- NPI assigned
- Nov 19, 2010
- Last updated
- May 31, 2013
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | XL3640 | ME | Primary |
Addresses
Primary practice location
1486 Broadway
Unit B
South Portland, ME 04106-2602
Mailing address
1486 Broadway
South Portland, ME 04106-2602
Phone (207) 468-0340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XL3640 | ME | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369958400000",
"number": "1205138583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1486 BROADWAY",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062602",
"telephone_number": "207-468-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1486 BROADWAY",
"address_2": "UNIT B",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062602",
"telephone_number": "207-468-0340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTONEY",
"first_name": "MICHELLE",
"middle_name": "ELISE",
"credential": "LCPC-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-19",
"last_updated": "2013-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ME",
"license": "XL3640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.