Jade D Montgomery

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

9403 Mansfield Rd
Shreveport, LA 71118-3815

Phone

(893) 831-8861

NPI assigned

Oct 20, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Rehabilitation Services of Northwest Louisiana, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1427137074
  NPD (past)
• Success Counseling Services North Dba Success Insite

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bossier City, LA
  • NPI 1699780122
  NPD (past)

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620518400000",
    "number": "1952772774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9403 MANSFIELD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183815",
            "telephone_number": "318-861-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9403 MANSFIELD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183815",
            "telephone_number": "893-831-8861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1504 Barksdale Blvd",
            "address_purpose": "LOCATION",
            "city": "Bossier",
            "state": "LA",
            "postal_code": "71111",
            "country_code": "US",
            "telephone_number": "318-222-4299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Youree Dr",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711015117",
            "country_code": "US",
            "telephone_number": "318-675-0804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "JADE",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2021-05-09",
        "certification_date": "2021-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Legg Monsour, MA LPC LMFT
• John Eric Monsour, DDS
• Jasmine Montgomery McGill
• Ava Montgomery
• Cynthia Gail Montgomery, MD
• Kinsey Montgomery, PHLEBOTOMY/LAB ASST
• Krystle Montgomery
• Lula Mae Montgomery
• Sarah M Montgomery, CRNA
• Julana Monti, MD

• Case Manager/Care Coordinator in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2021; 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.