Individual provider Active NPI

Jonathan Montoya, MSW, LCSW

  • Clinical Social Worker
  • Hillsboro, OR
National Provider Identifier
1891239778
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L11501 Issued in OR
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

Updated by the provider on Oct 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250602003415 OR Practitioner - Clinical Social Worker 0749799625 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW91638CAMDClinical Social Worker
L11501ORMDClinical Social Worker
RBT-16-20865CAMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Directions, LLC Mental Health CurrentSince Mar 21, 2025 Accepting new patients
Safe Haven Therapy, LLC Clinical Current Accepting new patients
Community Research Foundation Inc Past Accepting new patients
Oregon Directions, LLC PastSince Jan 26, 2022 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.

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

Verify at the official NPI Registry.