Thomas Lee Montenegro

Individual provider Active NPI Adult Companion · Yucca Valley, CA

NPI 1245127000 · NPPES record last updated Jul 9, 2025

Key facts

NPI
1245127000
Entity type
Individual (NPI type 1)
Primary specialty
Adult Companion 372600000X
Practice address
58471 29 Palms Hwy Ste 102
Yucca Valley, CA 92284-5818
Phone
(760) 853-7888
NPI assigned
Jun 23, 2025
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Star Behavioral Health, Inc. Past
since Jun 29, 2025
Accepting new patients
Valley Star Behavioral Health, Inc. Past
since Jun 29, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Adult Companion 372600000X Yes

Addresses

Primary practice location

58471 29 Palms Hwy Ste 102
Yucca Valley, CA 92284-5818

Mailing address

58471 29 Palms Hwy Ste 102
Yucca Valley, CA 92284-5818
Phone (760) 853-7888

Other providers in Yucca Valley, CA

All providers in Yucca Valley, CA · Adult Companion in California

Sources for this page

Verify at the official NPI Registry.