Elizabeth A Montour, MSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

7274123 Issued in WI

Practice address

1415 E Green Bay St
Ste 191
Shawano, WI 54166-3879

Phone

(715) 526-5466

Fax

(715) 526-5545

NPI assigned

Oct 3, 2006

Last updated

Mar 5, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Appleton Psychiatric & Counseling Center

  • Clinical Social Worker
  • Appleton, WI
  • NPI 1992858179
  NPD (past)
• Synergy Counseling Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shawano, WI
  • NPI 1033127444

  Counselor

  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1629162771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 E GREEN BAY ST",
            "address_2": "STE 191",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663879",
            "telephone_number": "715-526-5466",
            "fax_number": "715-526-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E GREEN BAY ST",
            "address_2": "STE 191",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663879",
            "telephone_number": "715-526-5466",
            "fax_number": "715-526-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOUR",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "7274123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40925100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damon Michael Metoxen
• Alexis Lillian Michonski
• Avari Miller, DC
• Jeffrey Lee Minikel, MD
• Jacob Monfils, DPT
• Abraham Gerald Morris
• Tammy Marie Mott-Hoffman, LPC
• Fue Xeng Moua, OTR
• John A. Mueller, LCSW
• Jenna J Mulder

• Counselor in Shawano, WI
• Providers in Shawano, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.