Active NPI
Montgomery Lee Brock, LCDC., LPC.
- Mental Health Counselor
- Ore City, TX
National Provider Identifier
1275330581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 84228
- Practice address
- 213 US Highway 259 N
Ore City, TX 75683-2106 - Phone
- (903) 714-4463
- NPI assigned
- Feb 26, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 84228 | TX | Primary |
Addresses
Primary practice location
213 US Highway 259 N
Ore City, TX 75683-2106
Mailing address
3839 Briargrove LN Apt 11203
Dallas, TX 75287-6388
Phone (903) 714-4463
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
213 US Hwy 259 N
PO Box 398
Ore City, TX 75683-2106
Phone (903) 968-4641
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brittain & Associates Inc | Current | Accepting new patients |
Locations
227 Russell Blvd
Nacogdoches, TX 75965
Phone (936) 564-4596
213 US Highway 259 N
Ore City, TX 75683
Phone (903) 968-4641
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Ore City, TX
- NPI 1285650457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1275330581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3839 BRIARGROVE LN APT 11203",
"city": "DALLAS",
"state": "TX",
"postal_code": "752876388",
"telephone_number": "903-714-4463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 US HIGHWAY 259 N",
"city": "ORE CITY",
"state": "TX",
"postal_code": "756832106",
"telephone_number": "903-714-4463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCK",
"first_name": "MONTGOMERY",
"middle_name": "LEE",
"credential": "LCDC., LPC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-26",
"last_updated": "2025-02-26",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "84228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ore City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.