Active NPI
Emily Lytle Montgomery, MHR, LPC
- Mental Health Counselor
- Oklahoma City, OK
National Provider Identifier
1265733398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6274
- Practice address
- 13909 Technology Dr Ste A1
Oklahoma City, OK 73134-1060 - Phone
- (405) 708-6331
- Fax
- (405) 708-6331
- NPI assigned
- Nov 5, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Mental Health Counselor | 101YM0800X | 6274 | OK | Primary |
Addresses
Primary practice location
13909 Technology Dr Ste A1
Oklahoma City, OK 73134-1060
Mailing address
15617 Hatterly LN
Edmond, OK 73013-4182
Phone (405) 229-7501
Other practice location 1
4425 Brandt Dr
Oklahoma City, OK 73120-8016
Phone (405) 229-7501
Other practice location 2
15617 Hatterly Ln
Edmond, OK 73013-4182
Phone (405) 229-7501
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1265733398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15617 HATTERLY LN",
"city": "EDMOND",
"state": "OK",
"postal_code": "730134182",
"telephone_number": "405-229-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13909 TECHNOLOGY DR STE A1",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341060",
"telephone_number": "405-708-6331",
"fax_number": "405-708-6331"
}
],
"practiceLocations": [
{
"address_1": "4425 Brandt Dr",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731208016",
"country_code": "US",
"telephone_number": "405-229-7501",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15617 Hatterly Ln",
"address_purpose": "LOCATION",
"city": "Edmond",
"state": "OK",
"postal_code": "730134182",
"country_code": "US",
"telephone_number": "405-229-7501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "EMILY",
"middle_name": "LYTLE",
"credential": "MHR, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OK",
"license": "6274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.