Kathryn Ann Montgomery, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18898 Issued in NC

Practice address

5950 Fairview Rd Ste 619
Charlotte, NC 28210-3175

Phone

(704) 552-0116

NPI assigned

Jun 20, 2023

Sex

Female

Sole proprietor

No

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

State licenses

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.

• Charlotte Mental Health Services PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Charlotte, NC
  • NPI 1366231466
  NPD Authorized official

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1972288637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 FAIRVIEW RD STE 619",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103175",
            "telephone_number": "704-609-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 FAIRVIEW RD STE 619",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103175",
            "telephone_number": "704-552-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montgomery Group, LLC
• Alexandra Chanel Montgomery, MD
• Alexandria Nicole Montgomery, DNP
• David Len Montgomery, P.T.
• Grayson Marie Montgomery, LCSWA
• Kimberly Nesbitt Montgomery, FNP
• Monique M Montgomery, LCSW, LCDP
• Samuel Montgomery
• Tchernavia Ranesfore Montgomery, MSW, LCSW
• Thomas Montgomery, MD

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.