Active NPI
Karen Montgomery, LMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1851655880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1227
- Practice address
- 11330 Q St
Omaha, NE 68137-3679 - Phone
- (402) 932-0901
- Fax
- (402) 932-0906
- NPI assigned
- Jun 25, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1227 | NE | Primary |
Addresses
Primary practice location
11330 Q St
Omaha, NE 68137-3679
Mailing address
16335 Chicago Cir
Omaha, NE 68118-2071
Phone (402) 932-0901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100253517-00 | Medicaid | NE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1227 | NE | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340582400000",
"number": "1851655880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16335 CHICAGO CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681182071",
"telephone_number": "402-932-0901",
"fax_number": "402-932-0906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11330 Q ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681373679",
"telephone_number": "402-932-0901",
"fax_number": "402-932-0906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "KAREN",
"name_prefix": "Mrs.",
"credential": "LMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-25",
"last_updated": "2012-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1227",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100253517-00",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.