Alicia Montoya, MA, LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6361000711 Issued in MI

Practice address

608 W Jefferson St
Grand Ledge, MI 48837-1321

Phone

(517) 256-1236

NPI assigned

Aug 9, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Lifepoint Counseling LLC

  • Professional Counselor
  • Lansing, MI
  • NPI 1134576275
  NPD

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1346794146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 EATON RAPIDS RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489116307",
            "telephone_number": "517-618-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 W JEFFERSON ST",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488371321",
            "telephone_number": "517-256-1236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8900 Shoal Creek Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787576898",
            "country_code": "US",
            "telephone_number": "512-983-6875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8900 Shoal Creek Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787576898",
            "country_code": "US",
            "telephone_number": "512-983-6875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4205A Thistle Dr NW",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278967617",
            "country_code": "US",
            "telephone_number": "517-256-1236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "ALICIA",
        "credential": "MA, LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "37464",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361000711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Miller, COTA
• Amy E Mills, LPC
• Carol Ann Mills, PTA
• Mind Body & Soul Connection LLC
• Minds Over Matter, LLC
• Travis Moquin, PHARM.D.
• Patrick Morris, PHARM D
• Allison Morrison, PT, DPT
• Kyle Anthony Mulder, DDS
• Cynthia Denise Munro, NP

• Clinical Psychologist in Grand Ledge, MI
• Providers in Grand Ledge, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.