Individual provider Active NPI

Natalie Montenegro, MFT

  • Marriage & Family Therapist
  • Palmdale, CA
National Provider Identifier
1548423759
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT86397 Issued in CA
Practice address
3166 E Palmdale Blvd Ste 104
Palmdale, CA 93550-5029
Phone
(818) 272-5947
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT86397 CA Primary

Addresses

Primary practice location

3166 E Palmdale Blvd Ste 104
Palmdale, CA 93550-5029

Mailing address

PO Box 900665
Palmdale, CA 93590-0665
Phone (818) 375-4957

Other identifiers 1

IdentifierTypeStateIssuer
00007301MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250304001571 CA Practitioner - Marriage and Family Therapist 3375063985

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT86397CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Natalie Montenegro Marriage and Family Therapy Inc CurrentSince Jan 5, 2025 Accepting new patients

Locations

3166 E Palmdale Blvd
Ste 208
Palmdale, CA 93550
Phone (818) 272-5947

3166 E Palmdale Blvd
Ste 104
Palmdale, CA 93550
Phone (818) 272-5947

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1548423759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900665",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935900665",
            "telephone_number": "818-375-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 E PALMDALE BLVD STE 104",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935505029",
            "telephone_number": "818-272-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTENEGRO",
        "first_name": "NATALIE",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT86397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00007301",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.