Individual provider Active NPI

Peggy Montgomery, LCSW-C

  • Mental Health Counselor
  • Columbia, MD
National Provider Identifier
1356700470
Registry record updated Apr 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
06177 Issued in MD
Practice address
10750 Hickory Ridge Rd Ste 113
Columbia, MD 21044-3681
Phone
(443) 621-0583
NPI assigned
Feb 17, 2016
Last updated
Apr 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2026

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 06177 MD Primary

Addresses

Primary practice location

10750 Hickory Ridge Rd Ste 113
Columbia, MD 21044-3681

Mailing address

10750 Hickory Ridge Rd Ste 113
Columbia, MD 21044-3681
Phone (443) 621-0583

Other practice location 1

10400 Little Patuxent Pkwy Ste 305
Columbia, MD 21044-3518
Phone (443) 621-0583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260511002993 MD Practitioner - Clinical Social Worker 2860960507 Reassigns benefits to 1 organization
I20260512000024 DC Practitioner - Clinical Social Worker 2860960507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Pittsburgh, PA 15251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06177MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Hospital, Inc. Past Accepting new patients
Suburban Hospital, Inc Addiction (Substance Use Disorder) PastSince Nov 1, 2015 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777075200000",
    "number": "1356700470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10750 HICKORY RIDGE RD STE 113",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443681",
            "telephone_number": "443-621-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 HICKORY RIDGE RD STE 113",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443681",
            "telephone_number": "443-621-0583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10400 Little Patuxent Pkwy Ste 305",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210443518",
            "country_code": "US",
            "telephone_number": "443-621-0583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "PEGGY",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "06177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.