Active NPI
Charlotte Carey Montgomery, LPC
- Mental Health Counselor
- Conroe, TX
National Provider Identifier
1689740441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13650
- Practice address
- 1110 N Loop 336 W
Suite 530
Conroe, TX 77301-1193 - Phone
- (936) 273-0863
- NPI assigned
- Nov 24, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 13650 | TX | Primary |
Addresses
Primary practice location
1110 N Loop 336 W
Suite 530
Conroe, TX 77301-1193
Mailing address
1110 N Loop 336 W
Suite 530
Conroe, TX 77301-1193
Phone (936) 273-0863
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13650 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689740441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 N LOOP 336 W",
"address_2": "SUITE 530",
"city": "CONROE",
"state": "TX",
"postal_code": "773011193",
"telephone_number": "936-273-0863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 N LOOP 336 W",
"address_2": "SUITE 530",
"city": "CONROE",
"state": "TX",
"postal_code": "773011193",
"telephone_number": "936-273-0863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "CHARLOTTE",
"middle_name": "CAREY",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "13650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
- Montgomery County Hospital District
- Montgomery County Lung Clinic, P.a.
- Montgomery County Periodontal Associates PC
- Montgomery County Public Health District
- Montgomery Orthopedic Care Specialists PLLC
- Laura Kemp Montgomery
- Whitney Lane Montgomery, PA-C
- Ella Moody
- Lynn Abadesco Moody, RN
- Alan Arthur Moore, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.