Bernie Montano, LSAA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0188211 Issued in NM

Practice address

216 W Maloney Ave
Gallup, NM 87301-5214

Phone

(505) 870-1483

NPI assigned

Jun 21, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hozho Center for Personal Enhancement

  • Community/Behavioral Health Agency
  • Gallup, NM
  • NPI 1285088963

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811417751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W MALONEY AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015214",
            "telephone_number": "505-870-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W MALONEY AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015214",
            "telephone_number": "505-870-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANO",
        "first_name": "BERNIE",
        "name_prefix": "Ms.",
        "credential": "LSAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0188211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Max Molyneux
• Katherine Alberta Monaghan, RN
• Ursula D Monroe
• William Kimbro Monroe, RN
• Clara Elena Monsivais
• Erin Maille Montano, D.D.S.
• Jared A Montano, D.D.S.
• Eileen Y Montoya
• Janelle Montoya
• Brenda Kay Moore, DO

• Addiction (Substance Use Disorder) Counselor in Gallup, NM
• Providers in Gallup, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.