Emily Montgomery, LICDC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.1800903 Issued in KY

Practice address

750 Cross Pointe Rd Ste D
Gahanna, OH 43230-6692

Phone

(614) 407-6513

Fax

(937) 998-1118

NPI assigned

Oct 16, 2017

Last updated

Jul 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emily.montgomery.p1@direct.thecounselingcenter.nextgenshare.com

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.

• A Child and Family Psychiatry LLC

  • Child & Adolescent Psychiatry Physician
  • Gahanna, OH
  • NPI 1760930853
  NPD

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1700397957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 FINDLAY ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624148",
            "telephone_number": "740-351-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 CROSS POINTE RD STE D",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306692",
            "telephone_number": "614-407-6513",
            "fax_number": "937-998-1118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Court St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456623932",
            "country_code": "US",
            "telephone_number": "740-354-6685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "EMILY",
        "credential": "LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161495",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "E.1800903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muad Dalmar Mohamed
• Stephen Mohr, LPCC-S
• Mary Monroe, PT, DPT
• Erik Kyle Monson, DPM
• Alexis L Montgomery
• Matthew Montgomery, DPT
• Monica Cecilia Montoya, LPN
• Cora Spring Moon, LISW
• Alan E Moore, D.D.S.
• Connor Ian Moore

• Mental Health Counselor in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.