Individual provider Active NPI

Rachel Lindsey Montgomery, LPC

  • Professional Counselor
  • Wytheville, VA
National Provider Identifier
1356974240
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008937 Issued in VA
Practice address
525 W Monroe St
Wytheville, VA 24382-2237
Phone
(276) 227-0489
NPI assigned
Feb 19, 2020
Last updated
Feb 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701008937 VA Primary

Addresses

Primary practice location

525 W Monroe St
Wytheville, VA 24382-2237

Mailing address

770 W Ridge Rd
Wytheville, VA 24382-1187
Phone (276) 223-3200

Other names 1

  • Rachel Lindsey Carroll Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250907000332 VA Practitioner - Mental Health Counselor 8123520343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5511 Staples Mill Rd
Suite 102
Henrico, VA 23228-5445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Iyh I LLC Professional CurrentSince Jul 2, 2025 Accepting new patients
Intercept Youth Services, Inc Past Accepting new patients

Locations

624 Happy Acres Rd
Chesapeake, VA 23323
Phone (757) 296-0900

11961 Iron Bridge Rd
Chester, VA 23831
Phone (540) 523-8099

10187 Brook Rd
Glen Allen, VA 23059
Phone (540) 523-8080

5511 Staples Mill Rd
Ste 102
Richmond, VA 23228
Phone (804) 864-1320

5673 Airport Rd NW
Roanoke, VA 24012
Phone (540) 523-8055

Organizations & group practices 2

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": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1356974240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 W RIDGE RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821187",
            "telephone_number": "276-223-3200",
            "fax_number": "276-223-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W MONROE ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822237",
            "telephone_number": "276-227-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "RACHEL",
        "middle_name": "LINDSEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "CARROLL",
            "middle_name": "LINDSEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wytheville, VA

Sources for this page

Verify at the official NPI Registry.