Jennifer B Montgomery, RAC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

203783712 Issued in LA

Practice address

201 Holiday Blvd Ste 400
Covington, LA 70433-5282

Phone

(504) 285-0692

Fax

(985) 273-3869

NPI assigned

May 1, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Longbranch Outpatient Recovery, LLC

  • Recovery Care Clinic/Center
  • Metairie, LA
  • NPI 1578091104

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1518756196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HOLIDAY BLVD STE 400",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335282",
            "telephone_number": "504-285-0692",
            "fax_number": "985-273-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HOLIDAY BLVD STE 400",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335282",
            "telephone_number": "504-285-0692",
            "fax_number": "985-273-3869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19375 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704338876",
            "country_code": "US",
            "telephone_number": "504-238-0050",
            "fax_number": "985-273-3255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "JENNIFER",
        "middle_name": "B",
        "credential": "RAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-01",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "2203785715-A",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "LA",
            "license": "203783712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Monoc
• Amanda Renee Monroe, MA, LPC, NCC
• Hillary P Montalbano, APRN
• Juliee Montelaro, LPC, NCC, CCTP
• Christy Montgomery, ED.D, LPC
• Celeste Pichon Montz, LCSW
• Kasimu Senghor Moody, M.D.
• Haley Rayne Moon
• Coni S Moore, FNP
• Madison Nunnery Moore, NP

• Substance Abuse Rehabilitation Facility in Covington, LA
• Providers in Covington, LA by specialty
• Substance Abuse Rehabilitation Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.