Active NPI
Melinda M. Montgomery, M.S., L.P.C., L.P.A.
- Professional Counselor
- San Angelo, TX
National Provider Identifier
1619192986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18065
- Practice address
- 2501 Dena Dr
San Angelo, TX 76904-5014 - Phone
- (325) 223-0786
- Fax
- (325) 617-4196
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 18065 | TX | Primary |
Addresses
Primary practice location
2501 Dena Dr
San Angelo, TX 76904-5014
Mailing address
2501 Dena Dr
San Angelo, TX 76904-5014
Phone (325) 223-0786
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6232LC | Other | TX | BLUECROSS BLUESHIELD OF T |
| 157588801 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18065 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M & M Counseling & Assessment Services, P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- San Angelo, TX
- NPI 1992178396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368144000000",
"number": "1619192986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 DENA DR",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769045014",
"telephone_number": "325-223-0786",
"fax_number": "325-617-4196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 DENA DR",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769045014",
"telephone_number": "325-223-0786",
"fax_number": "325-617-4196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "MELINDA",
"middle_name": "M.",
"credential": "M.S., L.P.C., L.P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2013-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "18065",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD OF T",
"identifier": "6232LC",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "157588801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.