Active NPI
Brandes Lynne Montgomery, MS, NCC, LPC
- Professional Counselor
- Erie, PA
National Provider Identifier
1972939635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC007128
- Practice address
- 4906 Richmond St
Erie, PA 16509-1978 - Phone
- (412) 592-5834
- NPI assigned
- Sep 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC007128 | PA | Primary |
Addresses
Primary practice location
4906 Richmond St
Erie, PA 16509-1978
Mailing address
4906 Richmond St
Erie, PA 16509-1978
Phone (412) 592-5834
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC007128 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1972939635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4906 RICHMOND ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165091978",
"telephone_number": "412-592-5834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4906 RICHMOND ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165091978",
"telephone_number": "412-592-5834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "BRANDES",
"middle_name": "LYNNE",
"name_prefix": "Miss",
"credential": "MS, NCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-25",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC007128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.