GARY P MONTGOMERY (NPI# 1710099189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710099189 |
| Entity Type | Individual |
| Full Name | GARY P MONTGOMERY |
| Credential | MA, LPC |
| Practice Address |
132 Trumbull St Saint Clair MI 48079-5372 |
| Practice Telephone | 8103295340 |
| Practice Fax Number | 8103298964 |
| Mailing Telephone | 8103295340 |
| Mailing Fax Number | 8103298964 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401002971 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518095546 | Gary Montgomery | Dentist | 21851 Center Ridge Road, Suite 205, Rocky River, OH 44116 | 2007-03-01 |
| 1104299601 | Gary Dale Montgomery | Physician Assistant | 12800 Bothell Everett Hwy, Ste A, Everett, WA 98208-6642 | 2015-11-05 |
| 1255734356 | Gary Mark Montgomery | Obstetrics & Gynecology | 6100 Harris Pkwy, Fort Worth, TX 76132-4101 | 2014-10-02 |
| 1730196882 | Gary L Montgomery | Pediatrics | 1100 Lake Hearn Dr, Ste 450, Atlanta, GA 30342 | 2006-08-02 |
| Street Address |
132 TRUMBULL ST |
| City | SAINT CLAIR |
| State | MI |
| Zip Code | 48079-5372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508268251 | Courtney Mcclellan | Social Worker | 132 Trumbull St, Saint Clair, MI 48079-5372 | 2014-09-24 |
| 1609021567 | Kimberly A Campolong | Social Worker | 132 Trumbull St, Saint Clair, MI 48079-5372 | 2008-11-19 |
| 1285854414 | Eastwood Community Clinics | Counselor | 132 Trumbull St, Saint Clair, MI 48079-5372 | 2007-04-30 |
| 1316165715 | Eastwood Community Clinics | Counselor | 132 Trumbull St, Saint Clair, MI 48079-5372 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548708654 | Mother & Child Mihp of Michigan, Inc. | Exclusive Provider Organization | 1457 South Oakland, St Clair, MI 48079 | 2017-02-09 |
| 1467832568 | Hailey Davis | Speech-Language Pathologist | 5228 Davis Rd, Saint Clair, MI 48079 | 2015-06-03 |
| 1912202144 | Nancy Susan Harrar | Pharmacist | 1167 S. Carney, St. Clair, MI 48079 | 2011-01-19 |
| 1811136393 | Thompson & Schroyer Dds PC | Dentist | 201 N. Riverside, Suite E2a, St. Clair, MI 48079 | 2009-02-06 |
| 1467620831 | Gary D Schroyer | Dentist | 201 N Riverside, Suite E2a, St Clair, MI 48079 | 2008-02-19 |
| 1902941537 | Carol Allen | Optometrist | 201 North Riverside Ave, E9, St Clair, MI 48079 | 2007-02-21 |
| 1730264995 | St Clair Eye Pllc | Optometrist | 1921 Fred Moore Hwy, St Clair, MI 48079 | 2006-10-26 |
| 1700970381 | Carol Jean Kesterke | Counselor | 132 Trumbull, St. Clair, MI 48079 | 2006-10-03 |
| 1629088679 | Nancy H Marshall | Psychiatry & Neurology | 132 Trumbull Street, St Clair, MI 48079 | 2006-08-09 |
| 1568423689 | Robert Reisig Dds PC | Dentist | 1820 Sinclair St, Suite B, St Clair, MI 48079 | 2006-03-29 |
| Find all providers in zip 48079 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285854414 | Eastwood Community Clinics | Counselor | 132 Trumbull St, Saint Clair, MI 48079-5372 | 2007-04-30 |
| 1316165715 | Eastwood Community Clinics | Counselor | 132 Trumbull St, Saint Clair, MI 48079-5372 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306898 | Jennifer Elaine Mitchell | Counselor | 2311 Shelby Ave Ste 201d, Ann Arbor, MI 48103-3849 | 2020-11-06 |
| 1316548720 | Christopher Klein | Counselor | Christopher Klein, 983 Spaulding Ave Se, Ada, MI 49301-3701 | 2020-11-03 |
| 1851991640 | Crystal Lee Stewart | Counselor | 20500 Eureka Rd Ste 200, Taylor, MI 48180-6394 | 2020-10-29 |
| 1538768213 | The Made Institute | Counselor | 503 Garland St, Flint, MI 48503-2523 | 2020-10-22 |
| 1154938801 | Keenya Harris | Counselor | 1496 Mapleview St Se, Kentwood, MI 49508-4838 | 2020-09-27 |
| 1851908636 | Jearald Dudley II | Counselor | 47 Carriage Way, Ypsilanti, MI 48197-7430 | 2020-09-25 |
| 1407462450 | The Root Causation LLC | Counselor | 2483 S Linden Rd Ste 50, Flint, MI 48532-5435 | 2020-09-16 |
| 1649885500 | Steven William Scavone | Counselor | 45660 Schonherr Rd., Shelby Township, MI 48315 | 2020-09-08 |
| 1215542154 | Tamara Latrice Butler | Counselor | 27085 Gratiot Ave Ste 108, Roseville, MI 48066-2984 | 2020-09-08 |
| 1205449162 | Katherine Ann Huttenlocher | Counselor | 2835 Carpenter Rd Ste 5, Ann Arbor, MI 48108-1172 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIR |
| Zip Code | 48079 |
Please comment or provide details below to improve the information on GARY P MONTGOMERY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.