Active NPI
Jonathan Montoya, MSW, LCSW
- Clinical Social Worker
- Hillsboro, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L11501
- Practice address
- 9620 NE Tanasbourne Dr Ste 300-49
Hillsboro, OR 97124-7843 - Phone
- (760) 822-2768
- NPI assigned
- Dec 12, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | ASW91638 | CA | |
| Other Technician | 247200000X | RBT-16-20865 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | L11501 | OR | Primary |
Addresses
Primary practice location
9620 NE Tanasbourne Dr Ste 300-49
Hillsboro, OR 97124-7843
Mailing address
9620 NE Tanasbourne Dr Ste 300-49
Hillsboro, OR 97124-7843
Phone (760) 822-2768
Other practice location 1
4101 NE Division St # 100
Gresham, OR 97030-4617
Phone (503) 666-3808
Other practice location 2
6540 Lusk Blvd Ste C256
San Diego, CA 92121-5795
Phone (877) 264-6747
Other practice location 3
734 10th Ave
San Diego, CA 92101
Phone (619) 239-4663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW91638 | CA | MD | Clinical Social Worker |
| L11501 | OR | MD | Clinical Social Worker |
| RBT-16-20865 | CA | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Directions, LLC | Mental Health | Current | Accepting new patients |
| Safe Haven Therapy, LLC | Clinical | Current | Accepting new patients |
| Community Research Foundation Inc | Past | Accepting new patients | |
| Oregon Directions, LLC | Past | Accepting new patients | |
| Community Research Foundation Inc | Clinical | Past | Accepting new patients |
Locations
917 NW Grant Ave
Ste B
Corvallis, OR 97330
9620 NE Tanasbourne Dr
Ste 30049
Hillsboro, OR 97124
Phone (760) 822-2768
1220 SW Morrison St
Ste 929
Portland, OR 97205
Phone (503) 530-9330
2601 25th St SE
Ste 350
Salem, OR 97302
305 Oak St
Silverton, OR 97381
Phone (702) 769-8533
1705 Centennial Blvd
Ste 2
Springfield, OR 97477
Phone (970) 962-4819
1110 N 18th St
Ste 5
Springfield, OR 97477
1705 Centennial Blvd
Ste 12
Springfield, OR 97477
76 S 360 E
American Fork, UT 84003
Phone (385) 518-0652
Organizations & group practices 5
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.
-
- Mental Health Counselor
- Springfield, OR
- NPI 1225707763
-
- Clinical Social Worker
- Portland, OR
- NPI 1245058858
-
- Professional Counselor
- Springfield, OR
- NPI 1104578350
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1346463932
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1952328700
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1891239778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9620 NE TANASBOURNE DR STE 300-49",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971247843",
"telephone_number": "760-822-2768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9620 NE TANASBOURNE DR STE 300-49",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971247843",
"telephone_number": "760-822-2768"
}
],
"practiceLocations": [
{
"address_1": "4101 NE Division St # 100",
"address_purpose": "LOCATION",
"city": "Gresham",
"state": "OR",
"postal_code": "970304617",
"country_code": "US",
"telephone_number": "503-666-3808",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6540 Lusk Blvd Ste C256",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921215795",
"country_code": "US",
"telephone_number": "877-264-6747",
"fax_number": "877-539-7730",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "734 10th Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "92101",
"country_code": "US",
"telephone_number": "619-239-4663",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTOYA",
"first_name": "JONATHAN",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-12",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW91638",
"primary": false
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "CA",
"license": "RBT-16-20865",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L11501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.