NPIMap

Organization Active NPI

Montgomery Counseling Center

  • Mental Health Counselor
  • Nampa, ID
National Provider Identifier
1255412714
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW 712 Issued in ID
Legal business name
MONTGOMERY COUNSELING CENTER
Practice address
323 12TH Ave Rd
Nampa, ID 83686-5014
Phone
(208) 463-0212
Fax
(208) 461-5452
NPI assigned
Oct 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Phyllis MontgomeryNPI 1316106107
Title
LCSW
Phone
(208) 463-0212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LCSW 712 ID Primary

Addresses

Primary practice location

323 12TH Ave Rd
Nampa, ID 83686-5014

Mailing address

323 12TH Ave Rd
Nampa, ID 83686-5014
Phone (208) 463-0212

National Provider Directory

National Provider Directory

Locations

323 12th Ave Rd
Nampa, ID 83686
Phone (208) 463-0212

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255412714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865014",
            "telephone_number": "208-463-0212",
            "fax_number": "208-461-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865014",
            "telephone_number": "208-463-0212",
            "fax_number": "208-461-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "208-463-0212"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCSW 712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.