Individual provider Active NPI

Kathryn Montgomery, LCPC

  • Mental Health Counselor
  • Boise, ID
National Provider Identifier
1972885382
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCPC 5810 Issued in ID
Practice address
1414 W Franklin St
Boise, ID 83702-5023
Phone
(208) 850-9878
Fax
(208) 395-1948
NPI assigned
Sep 12, 2011
Last updated
Mar 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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 LCPC 5810 ID Primary

Addresses

Primary practice location

1414 W Franklin St
Boise, ID 83702-5023

Mailing address

1414 W Franklin St
Boise, ID 83702-5023
Phone (208) 850-9878

Other names 1

  • Mary Kathryn Montgomery Professional name

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

State licenses

LicenseStateTypeSpecialty
LCPC 5810IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Hill, LCSW, LLC PastSince Jun 22, 2015 Accepting new patients
A Better Day Counseling Services, PA PastSince Jul 1, 2008 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1972885382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W FRANKLIN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025023",
            "telephone_number": "208-850-9878",
            "fax_number": "208-395-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W FRANKLIN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025023",
            "telephone_number": "208-850-9878",
            "fax_number": "208-395-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "KATHRYN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC 5810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MONTGOMERY",
            "middle_name": "KATHRYN",
            "credential": "LCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.