Individual provider Active NPI

Kira Monterrey, LCSW

  • Social Worker
  • Brentwood, CA
National Provider Identifier
1629469085
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW81553 Issued in CA
Practice address
1120 2ND St Ste 115
Brentwood, CA 94513-2230
Phone
(925) 852-3987
NPI assigned
Feb 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Social Worker 104100000X LCSW81553 CA Primary
Mental Health Counselor 101YM0800X LCSW81553 CA

Addresses

Primary practice location

1120 2ND St Ste 115
Brentwood, CA 94513-2230

Mailing address

1120 2ND St Ste 115
Brentwood, CA 94513-2230
Phone (925) 852-3987

Other practice location 1

1333 Willow Pass Rd
Suite 106
Concord, CA 94520-7930
Phone (925) 680-4526

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

State licenses

LicenseStateTypeSpecialty
LCSW81553CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Minds Counseling Center, Licensed Clinical Social Worker, PC Mental Health Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1629469085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 2ND ST STE 115",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132230",
            "telephone_number": "925-852-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 2ND ST STE 115",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132230",
            "telephone_number": "925-852-3987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Willow Pass Rd",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945207930",
            "country_code": "US",
            "telephone_number": "925-680-4526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTERREY",
        "first_name": "KIRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCSW81553",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW81553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.