Mario Montalvo, LCAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

20123 Issued in NC

Practice address

222 W Union St
Morganton, NC 28655-3787

Phone

(828) 475-1804

Fax

(828) 475-4143

NPI assigned

Feb 26, 2014

Last updated

Jan 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1588089619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W UNION ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553787",
            "telephone_number": "828-475-1804",
            "fax_number": "828-475-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W UNION ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553787",
            "telephone_number": "828-475-1804",
            "fax_number": "828-475-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "MARIO",
        "credential": "LCAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-26",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "20123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayah Magdy Kamal Ahmed Mohamed, M.D.
• Suneel Mohammed, MD
• Masood Mohiuddin, M.D.
• Matthew Sheldon Moncrief, LPCA, NCC
• Wallace B. Moncrief, PA-C
• Carolyn Mook, M.D.
• James McDowell Moore, PH.D.
• Nicole Marie Moore, NP-C
• Mario Moraga, LCAS
• Julie Lee Morann, CPHT

• Addiction (Substance Use Disorder) Counselor in Morganton, NC
• Providers in Morganton, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.