Jaquelin Montiel-Gonzalez

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

11232 Patrick Ave
Omaha, NE 68164-9659

Phone

(712) 253-1225

NPI assigned

Mar 10, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• 360 Community Services Inc

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1346856747
  NPD

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1962201368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9744 MOCKINGBIRD DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681272013",
            "telephone_number": "402-800-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11232 PATRICK AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681649659",
            "telephone_number": "712-253-1225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8131 N 173rd St",
            "address_purpose": "LOCATION",
            "city": "Bennington",
            "state": "NE",
            "postal_code": "680075807",
            "country_code": "US",
            "telephone_number": "712-253-1225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTIEL-GONZALEZ",
        "first_name": "JAQUELIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raneiyah Montgomery
• Rhozine Montgomery, SLP
• Ryan Montgomery
• Tonnise Marie Montgomery
• Traniqua Montgomery
• Laura Montoya Gallardo
• Ariana Montoya-Garcia
• Ciara Montoya, PLMHP
• Claire Montoya, DNP
• Mya Montoya

• Adult Companion in Omaha, NE
• Providers in Omaha, NE by specialty
• Adult Companion in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.