Erin Jeanette Montgomery,, LMFT, LSAA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

CTB-2022-0112 Issued in NM

Practice address

110 E Mescalero Rd
Roswell, NM 88201-6542

Phone

(575) 755-2272

Fax

(575) 622-3325

NPI assigned

Aug 21, 2019

Last updated

Feb 21, 2023By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

• Azurite Services PC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Roswell, NM
  • NPI 1932650041
  NPD (past)

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1346897634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E MESCALERO RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882016542",
            "telephone_number": "575-755-2272",
            "fax_number": "575-622-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MESCALERO RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882016542",
            "telephone_number": "575-755-2272",
            "fax_number": "575-622-3325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 W 2nd St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882014669",
            "country_code": "US",
            "telephone_number": "575-755-5555",
            "fax_number": "575-755-5556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY,",
        "first_name": "ERIN",
        "middle_name": "JEANETTE",
        "credential": "LMFT,  LSAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CAMF0213311",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CTB-2022-0112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73728306",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saneal Mistry, DDS
• Michael J. Mitchell, M.D.
• Yanet Montelongo, LMSW
• McKensie S Montgomery
• Stephen W Montgomery, MD
• Lorene Montoya
• Tonia Elizabeth Montoya, FNP-C
• Vanessa Montoya, M.A. CF-SLP
• Fallon Moody, FNP
• Richard Carl Mooney, MD

• Marriage & Family Therapist in Roswell, NM
• Providers in Roswell, NM by specialty
• Marriage & Family Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.