Active NPI
Marjorie Louise Montano, LPCC
- Mental Health Counselor
- Albuquerque, NM
National Provider Identifier
1457401606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2575
- Practice address
- 101 Hospital Loop NE
Suite 215
Albuquerque, NM 87109-2129 - Phone
- (505) 259-4255
- Fax
- (505) 816-6702
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2575 | NM | Primary |
Addresses
Primary practice location
101 Hospital Loop NE
Suite 215
Albuquerque, NM 87109-2129
Mailing address
4607 Jamaica Dr NE
Albuquerque, NM 87111-2839
Phone (505) 332-8256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 23, 2024 through May 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2575 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294012800000",
"number": "1457401606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4607 JAMAICA DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871112839",
"telephone_number": "505-332-8256",
"fax_number": "505-816-6702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HOSPITAL LOOP NE",
"address_2": "SUITE 215",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871092129",
"telephone_number": "505-259-4255",
"fax_number": "505-816-6702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTANO",
"first_name": "MARJORIE",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2011-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "2575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.