Jeanette Marcroft Montierth, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-21097 Issued in AZ

Practice address

2701 S Montierth PL
Safford, AZ 85546-9499

Phone

(928) 965-2222

NPI assigned

Mar 27, 2023

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

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": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1629771696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 S MONTIERTH PL",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855469499",
            "telephone_number": "928-965-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S MONTIERTH PL",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855469499",
            "telephone_number": "928-965-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Safford",
            "state": "AZ",
            "postal_code": "855462074",
            "country_code": "US",
            "telephone_number": "928-792-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTIERTH",
        "first_name": "JEANETTE",
        "middle_name": "MARCROFT",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-21097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silke Mildenberger
• Millennium Medical Supply
• Tanya Miller
• Shayleh Moffett, WHNP
• Bradford N. Montierth, M.D
• Tracy Jon Montierth, O.D.
• Nicole Kindness Mortensen, CNM, WHNP
• Karen Lynn Moskal
• Mount Graham Dental Associates PLC
• Mount Graham Family Medicine Practice,P.C.

• Mental Health Counselor in Safford, AZ
• Providers in Safford, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.