Individual provider Active NPI

Alix Michelle Montgomery, LCSW

  • Clinical Social Worker
  • Brownsburg, IN
National Provider Identifier
1669116596
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34009389A Issued in IN
Practice address
7230 Arbuckle CMNS Ste 252
Brownsburg, IN 46112-1798
Phone
(317) 456-2487
NPI assigned
Apr 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34009389A IN Primary

Addresses

Primary practice location

7230 Arbuckle CMNS Ste 252
Brownsburg, IN 46112-1798

Mailing address

182 Thornleigh CT
Brownsburg, IN 46112-1864
Phone (317) 361-5127

Other practice location 1

182 Thornleigh Ct
Brownsburg, IN 46112-1864
Phone (317) 361-5127

Other names 1

  • Alix Michelle Channell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220622000868 IN Practitioner - Clinical Social Worker 2163801143 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
One Sensible Solution LLC Clinical CurrentSince Jun 9, 2022 Accepting new patients
Compass Counseling and Therapeutic Services Clinical CurrentSince Apr 6, 2023 Accepting new patients

Locations

6038 N Keystone Ave
Indianapolis, IN 46220
Phone (317) 296-4914

6100 N Keystone Ave
Ste 42
Indianapolis, IN 46220
Phone (317) 296-4914

6100 N Keystone Ave
Ste 420
Indianapolis, IN 46220
Phone (317) 296-4914

Organizations & group practices 2

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": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1669116596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 THORNLEIGH CT",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121864",
            "telephone_number": "317-361-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 ARBUCKLE CMNS STE 252",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121798",
            "telephone_number": "317-456-2487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "182 Thornleigh Ct",
            "address_purpose": "LOCATION",
            "city": "Brownsburg",
            "state": "IN",
            "postal_code": "461121864",
            "country_code": "US",
            "telephone_number": "317-361-5127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ALIX",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009389A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALIX",
            "last_name": "CHANNELL",
            "middle_name": "MICHELLE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brownsburg, IN

Sources for this page

Verify at the official NPI Registry.