Individual provider Active NPI

Valerie B Montgomery, MA, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1760790182
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5761 Issued in CO
Practice address
716 N Tejon St # 7
Colorado Springs, CO 80903-1012
Phone
(719) 598-7800
Fax
(719) 204-3829
NPI assigned
Sep 20, 2010
Reactivated
Sep 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5761 CO Primary

Addresses

Primary practice location

716 N Tejon St # 7
Colorado Springs, CO 80903-1012

Mailing address

2316 N Wahsatch Ave # 312
Colorado Springs, CO 80907-6941
Phone (719) 598-7800

Other practice location 1

2447 Lafayette Road
Colorado Springs, CO 80907
Phone (719) 598-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240507001486 CO Practitioner - Mental Health Counselor 7214298702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2447 Lafayette Rd
Colorado Springs, CO 80907-6517
Phone (719) 598-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5761COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Beautiful, LLC Professional CurrentSince Mar 4, 2024 Accepting new patients

Locations

2316 N Wahsatch Ave
Colorado Springs, CO 80907
Phone (706) 473-3454

Organizations & group practices 1

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": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1760790182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 N WAHSATCH AVE # 312",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076941",
            "telephone_number": "719-598-7800",
            "fax_number": "719-362-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 N TEJON ST # 7",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031012",
            "telephone_number": "719-598-7800",
            "fax_number": "719-204-3829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2447 Lafayette Road",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80907",
            "country_code": "US",
            "telephone_number": "719-598-7800",
            "fax_number": "719-362-4351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "VALERIE",
        "middle_name": "B",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "deactivation_date": "2015-04-23",
        "reactivation_date": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "5761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.