Individual provider Active NPI

Leslie Noelle Corrao Montgomery

  • Mental Health Counselor
  • Hixson, TN
National Provider Identifier
1932827110
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
6550 Old Dayton Pike
Hixson, TN 37343-2654
Phone
(423) 922-9426
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

6550 Old Dayton Pike
Hixson, TN 37343-2654

Mailing address

3106 Easton Ave
Chattanooga, TN 37415-5821
Phone (770) 846-1972

Other practice location 1

3106 Easton Ave
Chattanooga, TN 37415-5821
Phone (770) 846-1972

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SimplePractice

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

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1932827110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 EASTON AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374155821",
            "telephone_number": "770-846-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 OLD DAYTON PIKE",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373432654",
            "telephone_number": "423-922-9426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3106 Easton Ave",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374155821",
            "country_code": "US",
            "telephone_number": "770-846-1972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "LESLIE",
        "middle_name": "NOELLE CORRAO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "address_1": "6550 Old Dayton Pike",
            "city": "Hixson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373432654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.