Susan Montague, LCP, LCAC, LMLP

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

011 Issued in KS

Practice address

645 E Iron Ave Ste C
Salina, KS 67401-2697

Phone

(800) 423-1342

Fax

(785) 628-3113

NPI assigned

Jul 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Susan Thomas Former name

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.

• Saint Francis Community and Residential Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salina, KS
  • NPI 1245351527

  Addiction (Substance Use Disorder)

  NPD (past)
• Saint Francis Community Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salina, KS
  • NPI 1063574499

  Addiction (Substance Use Disorder)

  NPD (past)
• Saint Francis Community Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salina, KS
  • NPI 1144341694

  Clinical

  NPD (past)

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1548460439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E ELM ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012353",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 E IRON AVE STE C",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674012697",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3730 E Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672182008",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5097 W Cloud St",
            "address_purpose": "LOCATION",
            "city": "Salina",
            "state": "KS",
            "postal_code": "674019743",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2008 11th St",
            "address_purpose": "LOCATION",
            "city": "Great Bend",
            "state": "KS",
            "postal_code": "675304419",
            "country_code": "US",
            "telephone_number": "800-423-1342",
            "fax_number": "785-628-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "SUSAN",
        "credential": "LCP, LCAC, LMLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KS",
            "license": "050",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "2811",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200435200B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "THOMAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rodney D Molette
• Stephen Michael Moll, MD
• Monica M Bachamp DO PA
• Monroe Chiropractic Wellness Center LLC
• Matthew Aaron Monroe, D.C.
• Preston Guy Montgomery, MD
• Cindy Monts
• Julie A Moore, MD
• Jaleah Morgan
• Natalie A Morgan, MD

• Addiction (Substance Use Disorder) Psychologist in Salina, KS
• Providers in Salina, KS by specialty
• Addiction (Substance Use Disorder) Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.