Individual provider Active NPI

Alexandra Rita Montoya, LPC

  • Professional Counselor
  • Elizabeth, CO
National Provider Identifier
1366107229
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0018862 Issued in CO
Practice address
650 East Walnut
Elizabeth, CO 80107
Phone
(303) 525-5065
NPI assigned
Nov 5, 2021
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X LPC.0018862 CO Primary

Addresses

Primary practice location

650 East Walnut
Elizabeth, CO 80107

Mailing address

650 E Walnut St Unit 103
Elizabeth, CO 80107-6615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20231218003431 CO Practitioner - Mental Health Counselor 6901255884 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

Practice addresses (Care Compare)

650 E Walnut St
Unit 103
Elizabeth, CO 80107-4519
Phone (303) 646-4519

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Mental Health Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Centennial Mental Health Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Centennial Mental Health Center, Inc. Current Accepting new patients
Centennial Mental Health Center, Inc. Past Accepting new patients
Centennial Mental Health Center, Inc. Past Accepting new patients
Centennial Mental Health Center, Inc. Past Accepting new patients
Centennial Mental Health Center, Inc. Past Accepting new patients
Centennial Mental Health Center, Inc. Past Accepting new patients
Centennial Mental Health Center, Inc. Past Accepting new patients

Locations

871 E 1st St
Akron, CO 80720
Phone (970) 345-2254

1291 Circle Dr
Burlington, CO 80807
Phone (719) 346-8183

80 E 1st St
Ste 2
Cheyenne Wells, CO 80810
Phone (719) 346-8183

821 E Railroad Ave
Fort Morgan, CO 80701
Phone (970) 867-4924

115 N Campbell Ave
Holyoke, CO 80734
Phone (970) 854-2114

118 W 3rd St
Julesburg, CO 80737
Phone (970) 474-2619

211 W Main St
Sterling, CO 80751
Phone (970) 522-4392

215 S Ash St
Yuma, CO 80759
Phone (970) 848-5412

Organizations & group practices 9

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": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1366107229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E WALNUT ST UNIT 103",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "801076615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 EAST WALNUT",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "80107",
            "telephone_number": "303-525-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "ALEXANDRA",
        "middle_name": "RITA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0018862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, CO

Sources for this page

Verify at the official NPI Registry.