Ronald Tyler Montgomery, LGPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP14081 Issued in MD

Practice address

306 W Pulaski Hwy
Elkton, MD 21921-5217

Phone

(410) 686-3629

NPI assigned

Jul 20, 2023

Last updated

Jul 20, 2023By the provider in NPPES

Sex

Male

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

Enrolled in MD

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

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advantage Psychiatric Services LLCGroup PAC ID 2860732039, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Advantage Psychiatric Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elkton, MD
  • NPI 1548742554
  Medicare reassignment Care Compare group NPD
• Advantage Psychiatric Services LLC

  • Case Management Agency
  • Elkton, MD
  • NPI 1306364971
  NPD
• Advantage Psychiatric Services LLC

  • Clinic/Center
  • Havre de Grace, MD
  • NPI 1700515236
  NPD
• Advantage Psychiatric Services LLC

  • Community/Behavioral Health Agency
  • Nottingham, MD
  • NPI 1518573427
  NPD (past)
• Advantage Psychiatric Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Annapolis, MD
  • NPI 1538732086
  NPD (past)
• Advantage Psychiatric Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Prince Frederick, MD
  • NPI 1740874296
  NPD (past)

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1699455097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 N BROOM ST APT 7",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053160",
            "telephone_number": "410-688-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W PULASKI HWY",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215217",
            "telephone_number": "410-686-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "RONALD",
        "middle_name": "TYLER",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP14081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MNR Industries, LLC (ExpressCare of Elkton, LLC)
• Usman Moghal, M.D.
• Steve Montalvo, DPT
• Robert Anthony Monteleone, M.D.
• Jaid-Alexandra Montgomery, LMSW
• Andrew Thomas Moore, MSN, APRN, PMHNP-BC
• Stacey Moran, CAC-AD
• Malcolm K Moses-Hampton, MD
• Toccara Monique Mosley, CRNP
• Shouleh Motamedi, DDS

• Mental Health Counselor in Elkton, MD
• Providers in Elkton, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.