Montgomery Calbert Prescod, PHD, NCC, BC-TMH

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6883 Issued in SC

Practice address

110 Ye Olde Kings Hwy
North Myrtle Beach, SC 29582-4384

Phone

(843) 663-0770

NPI assigned

Jun 18, 2020

Last updated

Jun 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Center for Counseling & Wellness

  • Mental Health Counselor
  • North Myrtle Beach, SC
  • NPI 1538439450
  Medicare reassignment NPD
• Every Vet Counts Psychological Care LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Matthews, SC
  • NPI 1629769633
  NPD Authorized official

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1437775194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 EDGEWOOD DR",
            "city": "ST MATTHEWS",
            "state": "SC",
            "postal_code": "291358465",
            "telephone_number": "917-584-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 YE OLDE KINGS HWY",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295824384",
            "telephone_number": "843-663-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESCOD",
        "first_name": "MONTGOMERY",
        "middle_name": "CALBERT",
        "name_prefix": "Dr.",
        "credential": "PHD, NCC, BC-TMH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Pienkos, CH
• Tomorrow Pittman
• Forrest A Pommerenke, M.D.
• Holly Leanne Poplin, APRN
• Dorothy Estelle Powell, APRN, FNP-BC
• Preventative Health NP in Family Health LLP
• Stephen Koty Price, AA-C
• Susan Prince
• Proactive MD,SC,P.a. (CNMB Employee Health Center)
• Professional Health Consultants

• Mental Health Counselor in North Myrtle Beach, SC
• Providers in North Myrtle Beach, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.