Individual provider Active NPI

Montgomery Lee Brock, LCDC., LPC.

  • Mental Health Counselor
  • Ore City, TX
National Provider Identifier
1275330581
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
84228 Issued in TX
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

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250404002384 TX Practitioner - Mental Health Counselor 0244754893 Reassigns benefits to 1 organization

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
Brittain and Associates IncGroup PAC ID 2668455221, 16 clinicians

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

OrganizationSpecialtyStatusNew patients
Brittain & Associates Inc CurrentSince Mar 13, 2025 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.

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

Verify at the official NPI Registry.