Jennifer Elizabeth Montoya, LPC ASSOCIATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

92480 Issued in TX

Practice address

6628 Bryant Irvin Rd Ste 200
Fort Worth, TX 76132-4221

Phone

(817) 886-4370

NPI assigned

Jun 4, 2024

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• SW FW Mental Health , PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ft Worth, TX
  • NPI 1427769348
  NPD
• Unstuck Space PLLC

  • Mental Health Counselor
  • Southlake, TX
  • NPI 1164160099
  NPD (past)

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1821839796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6628 BRYANT IRVIN RD STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324221",
            "telephone_number": "817-886-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6628 BRYANT IRVIN RD STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324221",
            "telephone_number": "817-886-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "credential": "LPC ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "92480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Christeen Montgomery, MOT
• Vanessa Jean Montgomery, PHARMD
• Monticello Chiropractic PLLC
• Monticello Diagnostic Imaging LP
• Yolanda Montiel, APRN, PMNHP-BC
• Stephanie Montoya
• Monty V. Trimble , MD, P.a
• Erica Moody
• Jeannie Marie Moody, D,M.D
• Patricia Reagan Moody, AU.D

• Mental Health Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.