Monty Shultz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21334 Issued in AZ

Practice address

141 S McCormick St Ste 100
Prescott, AZ 86303-4730

Phone

(308) 627-4743

Fax

(928) 852-0804

NPI assigned

Dec 31, 2009

Sex

Male

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 7

Medicare fee-for-service enrollment

Enrolled in NE, AZ2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Monty Shultz Counseling & Neurofeedback LLC

  • Adult Mental Health Clinic/Center
  • Prescott, AZ
  • NPI 1063839595

  NE

  Medicare reassignment NPD Authorized official
• Monty Shultz Counseling LLC

  • Adult Mental Health Clinic/Center
  • Prescott, AZ
  • NPI 1538941471
  Medicare reassignment NPD Authorized official
• McDowell Counseling & Associates, LLC

  • Mental Health Counselor
  • Kearney, NE
  • NPI 1598461121
  NPD (past)

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1558691279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 SPRUCE MOUNTAIN RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863038104",
            "telephone_number": "308-627-6119",
            "fax_number": "928-852-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S MCCORMICK ST STE 100",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034730",
            "telephone_number": "308-627-4743",
            "fax_number": "928-852-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "MONTY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-31",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1219",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "9058",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "21334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133519",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "21334",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "21943",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED INDEPENDENT MENTAL HEALTH PRACTITIONER",
            "identifier": "1219",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH PRACTITIONER",
            "identifier": "3971",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026398900",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASTER SOCIAL WORKER",
            "identifier": "1423",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dora J Sherman, D.O.
• Shantell Shipp, FNP-C
• David Shirley
• Titiana Shostak-Kinker, L.M.T.
• Ashley Showman, FNP-C
• Laurel S Shunk, M.S. - CCC SPEECH
• Shurine Pate, PLLC (Pate Complete Healthcare)
• Kevin Michael Shuster, KEVIN SHUSTER
• Andrew C Shuter, MD
• Dionne Louise Shy, NP-C

• Clinical Social Worker in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.