Active NPI
Johanna Montenegro, MA, LPC
- Professional Counselor
- Boerne, TX
National Provider Identifier
1538875315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 75988
- Practice address
- 138 Old San Antonio Rd Ste 503
Boerne, TX 78006-3492 - Phone
- (210) 771-1560
- NPI assigned
- Jan 25, 2023
- Last updated
- Jan 25, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 75988 | TX | Primary |
Addresses
Primary practice location
138 Old San Antonio Rd Ste 503
Boerne, TX 78006-3492
Mailing address
138 Old San Antonio Rd Ste 503
Boerne, TX 78006-3492
Phone (210) 771-1560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | TX | N/A |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75988 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1538875315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 OLD SAN ANTONIO RD STE 503",
"city": "BOERNE",
"state": "TX",
"postal_code": "780063492",
"telephone_number": "210-771-1560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 OLD SAN ANTONIO RD STE 503",
"city": "BOERNE",
"state": "TX",
"postal_code": "780063492",
"telephone_number": "210-771-1560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTENEGRO",
"first_name": "JOHANNA",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-25",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "75988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.