Keosha D.V. Montgomery, M.A., LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

635 Cox Rd
Gastonia, NC 28054-3424

Phone

(704) 691-7561

NPI assigned

May 5, 2011

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

Credentials

Master of Arts

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1972895175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 IVY MEADOW DR APT 1217",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282139041",
            "telephone_number": "704-726-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543424",
            "telephone_number": "704-691-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "KEOSHA",
        "middle_name": "D.V.",
        "name_prefix": "Miss",
        "credential": "M.A., LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzane Monet-Wooten, COTA
• Margaret Ruth Monroe, MD
• Alexandra Montagne, PHARMD
• Janice Huesca Montalbano, PT
• Jessica Gabrielle Montez, MA, LCMHCA
• Lauren Elizabeth Montgomery, PT, DPT
• Christina Moody-Musick, CCC-SLP
• Johnny Burton Moody Jr., FNP-BC
• John Lawrence Moonan III, O.D.
• Alexus Nacole Moore, MSW, LCSWA

• Mental Health Counselor in Gastonia, NC
• Providers in Gastonia, 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 Jan 17, 2013; 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.