Ingo D Montgomery, MS, BA, LICDC, LSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

82777 Issued in OH

Practice address

835 N Locust St
Ottawa, OH 45875-1216

Phone

(419) 523-4300

Fax

(419) 523-6188

NPI assigned

Jul 8, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Monty D Montgomery Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts, Master of Science

State licenses

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1427211606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 N LOCUST ST",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458751216",
            "telephone_number": "419-523-4300",
            "fax_number": "419-523-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 N LOCUST ST",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458751216",
            "telephone_number": "419-523-4300",
            "fax_number": "419-523-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "INGO",
        "middle_name": "D",
        "credential": "MS, BA, LICDC, LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "82777",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "0027904",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONTY",
            "last_name": "MONTGOMERY",
            "middle_name": "D",
            "credential": "MS, BA, LICDC, LSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shelby M Mengerink
• Lindsey Metzger
• Troy Meyer, DC
• Kristi Miller Powell
• Morgan Elizabeth Miller
• Lena Marie Moore, PTA
• Morman Family Chiropractic, LLC
• Anthony Lee Morman
• Julie Morman
• Brice Russell Musser, O.D.

• Addiction (Substance Use Disorder) Counselor in Ottawa, OH
• Providers in Ottawa, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.