Mary Ruth Montelongo

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

78764 Issued in TX

Practice address

5866 S Staples St Ste 102
Corpus Christi, TX 78413-3769

Phone

(361) 563-8619

Fax

(361) 334-1574

NPI assigned

Sep 12, 2019

Last updated

Apr 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Mental Health Counselor

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deer Oaks Geriatric Services P C

  dba Deer Oaks Consultation Services

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1134169287
  Medicare reassignment NPD
• Waves of Compassion Counseling PLLC

  • Professional Counselor
  • Corpus Christi, TX
  • NPI 1740814482
  NPD Authorized official

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1255981148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 BERMUDA DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047206",
            "telephone_number": "325-650-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5866 S STAPLES ST STE 102",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133769",
            "telephone_number": "361-563-8619",
            "fax_number": "361-334-1574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 Loop 306 Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769045995",
            "country_code": "US",
            "telephone_number": "361-563-8619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTELONGO",
        "first_name": "MARY",
        "middle_name": "RUTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Nicholas Montalvo, DDS
• Joanne Crystal Montalvo
• Anissa Marie Montelongo
• Dorothy Montelongo, L.P.C.
• Gina Montelongo
• Melissa Montemayor Trejo, RD
• Ludivina Montemayor-Allred, PHD, LPC-S
• Eduardo Daniel Montemayor, PA-C
• Sophia Marie Montemayor, MS, LPC
• Ildamaris Mercedes Montes de Oca Gonzalez

• Professional Counselor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.