Active NPI
Mahana Dolores Lugo Montenegro, LPC
- Professional Counselor
- Kalamazoo, MI
National Provider Identifier
1992331979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401016451
- Practice address
- 309 W Walnut St
Kalamazoo, MI 49007-5176 - Phone
- (269) 348-0774
- Fax
- (269) 360-3005
- NPI assigned
- Mar 21, 2020
- 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 | 6401016451 | MI | Primary |
Addresses
Primary practice location
309 W Walnut St
Kalamazoo, MI 49007-5176
Mailing address
3244 S Park St
Kalamazoo, MI 49001-4719
Phone (269) 365-3570
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401016451 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mahana Lugo LLC | Professional | Current | Accepting new patients |
Locations
309 W Walnut St
Kalamazoo, MI 49007
Phone (269) 216-7900
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775260800000",
"number": "1992331979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3244 S PARK ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490014719",
"telephone_number": "269-365-3570",
"fax_number": "269-360-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 W WALNUT ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490075176",
"telephone_number": "269-348-0774",
"fax_number": "269-360-3005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGO MONTENEGRO",
"first_name": "MAHANA",
"middle_name": "DOLORES",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-21",
"last_updated": "2026-04-04",
"certification_date": "2026-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401016451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.