Katie Montgomery
Individual provider Active NPI Community Health Worker · Glouster, OH
NPI 1720800014 · NPPES record last updated Jan 22, 2026
Key facts
- NPI
- 1720800014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 5380 Mountville Rd
Glouster, OH 45732-9509 - Phone
- (800) 321-8293
- NPI assigned
- Oct 28, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Services for Behavioral Health | Current |
Accepting new patients | |
| Integrated Services for Behavioral Health | Past |
Accepting new patients |
Locations
11 Graham Dr
Athens, OH 45701
Phone (740) 594-6807
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/isaoh/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
5380 Mountville Rd
Glouster, OH 45732-9509
Mailing address
5380 Mountville Rd
Glouster, OH 45732-9509
Other providers in Glouster, OH
- Michelle Lynn Keith
- Tonya Renee Kittle
- Kirsten Knight
- Barbara Nanette Malone
- Shyana Matheny
- Patient Care Ohio LLC
- Jackie R Patton
- Rachel Renee Sayers
- Christopher Schrader
- Tara L Sinift
All providers in Glouster, OH · Community Health Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.