Active NPI
Kimberley Montgomery, M.A.,LPC-S
- Professional Counselor
- Mesquite, TX
National Provider Identifier
1801223722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 68604
- Practice address
- 106 S Bryan Belt Line Rd
Mesquite, TX 75149-4350 - Phone
- (972) 882-6106
- NPI assigned
- Oct 9, 2013
- Last updated
- Jan 10, 2020
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 68604 | TX | Primary |
Addresses
Primary practice location
106 S Bryan Belt Line Rd
Mesquite, TX 75149-4350
Mailing address
3517 Dublin TRL
Mesquite, TX 75149-6753
Phone (469) 426-7735
Other practice location 1
3328 Silver Creek Dr
Mesquite, TX 75181-2968
Phone (469) 406-4069
Other practice location 2
4686 Bristol Trace Trl
Keller, TX 76244
Phone (817) 300-9484
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68604 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M6 Inspired LLC | Professional | Current | Accepting new patients |
Locations
106 S Bryan Belt Line Rd
Mesquite, TX 75149
Phone (972) 882-6106
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578614400000",
"number": "1801223722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3517 DUBLIN TRL",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751496753",
"telephone_number": "469-426-7735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 S BRYAN BELT LINE RD",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751494350",
"telephone_number": "972-882-6106"
}
],
"practiceLocations": [
{
"address_1": "3328 Silver Creek Dr",
"address_purpose": "LOCATION",
"city": "Mesquite",
"state": "TX",
"postal_code": "751812968",
"country_code": "US",
"telephone_number": "469-406-4069",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4686 Bristol Trace Trl",
"address_purpose": "LOCATION",
"city": "Keller",
"state": "TX",
"postal_code": "76244",
"country_code": "US",
"telephone_number": "817-300-9484",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "KIMBERLEY",
"credential": "M.A.,LPC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-09",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "68604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.