Dwan T Montgomery, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

15169 Issued in NC

Practice address

1214 W Ridge Rd
Apache Junction, AZ 85120-0206

Phone

(843) 494-1157

NPI assigned

Mar 19, 2007

Last updated

Aug 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

• Trucare Behavioral Health Services, L.L.P.

  • Professional Counselor
  • Reidsville, NC
  • NPI 1780834382
  NPD (past) Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1417071077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 W RIDGE RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851200206",
            "telephone_number": "843-494-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 W RIDGE RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851200206",
            "telephone_number": "843-494-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "DWAN",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "15169",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "16040",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005887",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mind-Potency Home Health Care LLC
• Charlie Raymond Mitchell, PH.D.
• Mobile Health Monitoring LLC
• Jessica June Moffett, BSN, RN
• Basha Imtiyaz Mohammed, MD
• Monument Management Services
• Kelly Moorehouse, RN
• Claudia K Morris
• Michael Perry Morris, D.C.
• Cali Morrow

• Mental Health Counselor in Apache Junction, AZ
• Providers in Apache Junction, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; 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.