Natasha Montgomery, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

78665 Issued in TX

Practice address

2451 W Grapevine Mills Cir # 1053
Grapevine, TX 76051-2096

Phone

(682) 292-8306

NPI assigned

Aug 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• M.B.S Whole Health

  • Professional Counselor
  • Grapevine, TX
  • NPI 1669197612

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Rayl Enterprises

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fort Worth, TX
  • NPI 1891044228

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1588219554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 W GRAPEVINE MILLS CIR # 1053",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512096",
            "telephone_number": "682-292-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 W GRAPEVINE MILLS CIR # 1053",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512096",
            "telephone_number": "682-292-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "NATASHA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14911",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saira Banoo Momin, DO
• Michael Mong
• Monroe Chiropractic & Sports Therapy, P.a.
• James Chester Montgomery, MD
• Lori Runyan Montgomery, LPC-A
• Christina Montminy, OTR
• Gloria Moody, M.D.
• Moon Pediatric Therapy & Consulting
• Meredith Michelle Moon, OTR/L
• Elizabeth Moore

• All providers in Grapevine, TX
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.