Victoria Ashley Nicole Montgomery

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

182996 Issued in OH

Practice address

1271 Crescent Heights Rd
Marion, OH 43302-6455

Phone

(614) 310-4983

NPI assigned

Dec 29, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1548973142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 CRESCENT HEIGHTS RD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 CRESCENT HEIGHTS RD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026455",
            "telephone_number": "614-310-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "VICTORIA",
        "middle_name": "ASHLEY NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "182996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victoria.elliott@cornerstone-project.com",
            "affiliation": "N",
            "address_1": "1271 Crescent Heights Rd",
            "city": "Marion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433026455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katelyn Marie Moffatt
• Kyle Patrick Moffatt
• Ali Mohammad
• Twila Sue Mollett, QMHS CMS
• Sean Patrick Monahan
• Reece Moodispaugh
• Jaybalan R. Moodley, MD
• Jared Moody
• Elizabeth Moore, LSW
• Elizabeth Marie Moore, LPN

• Addiction (Substance Use Disorder) Counselor in Marion, OH
• Providers in Marion, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.