Individual provider Active NPI

Leslie Ann Montgomery

  • Mental Health Counselor
  • Cathlamet, WA
National Provider Identifier
1386317386
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
42 Elochoman Valley Rd
Cathlamet, WA 98612-9602
Phone
(369) 795-8630
Fax
(360) 795-6224
NPI assigned
Jul 27, 2021
Last updated
Jul 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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 Primary

Addresses

Primary practice location

42 Elochoman Valley Rd
Cathlamet, WA 98612-9602

Mailing address

42 Elochoman Valley Rd
Cathlamet, WA 98612-9602
Phone (369) 795-8630

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address montgomeryl@co.wahkiakum.wa.us Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Interoperability endpoints

  • Direct secure messaging: montgomeryl@co.wahkiakum.wa.us

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1386317386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 ELOCHOMAN VALLEY RD",
            "city": "CATHLAMET",
            "state": "WA",
            "postal_code": "986129602",
            "telephone_number": "369-795-8630",
            "fax_number": "360-795-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 ELOCHOMAN VALLEY RD",
            "city": "CATHLAMET",
            "state": "WA",
            "postal_code": "986129602",
            "telephone_number": "369-795-8630",
            "fax_number": "360-795-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "montgomeryl@co.wahkiakum.wa.us",
            "affiliation": "N",
            "endpointDescription": "ENCRYPTED EMAIL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "None",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "42 Elochoman Valley Rd",
            "city": "Cathlamet",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986129602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cathlamet, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.