KATHY MONTENEGRO (NPI# 1821549676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821549676 |
| Entity Type | Individual |
| Full Name | KATHY MONTENEGRO |
| Credential | B.S. |
| Practice Address |
12755 Brookhurst St Ste 116 Garden Grove CA 92840-4855 |
| Practice Telephone | 7146388277 |
| Mailing Telephone | 7146388277 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
12755 BROOKHURST ST STE 116 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840-4855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770662231 | Floyd William Van De Vere | Marriage & Family Therapist | 12755 Brookhurst St Ste 116, Garden Grove, CA 92840-4855 | 2006-11-03 |
| 1811437874 | Mental Health Association of Orange County | Community/Behavioral Health | 12755 Brookhurst St Ste 116, Garden Grove, CA 92840-4855 | 2017-02-24 |
| 1578917373 | Tristy Nguyen | Counselor | 12755 Brookhurst St Ste 116, Garden Grove, CA 92840-4855 | 2016-04-18 |
| 1538528369 | Eva Lee | Counselor | 12755 Brookhurst St Ste 116, Garden Grove, CA 92840-4855 | 2016-02-22 |
| 1689073314 | Timothy Scavo | Counselor | 12755 Brookhurst St Ste 116, Garden Grove, CA 92840-4855 | 2014-08-19 |
| 1225375306 | Kelly Huynh | Counselor | 12755 Brookhurst St Ste 116, Garden Grove, CA 92840-4855 | 2013-01-10 |
| 1487907614 | Mental Health Association | Counselor | 12755 Brookhurst St Ste 116, Garden Grove, CA 92840-4855 | 2012-10-25 |
| 1982957114 | Mental Health Association of Orange County | Counselor | 12755 Brookhurst St Ste 116, Garden Grove, CA 92840-4855 | 2012-10-25 |
| 1215244652 | Lauren Anne Eisenman | Counselor | 12755 Brookhurst St Ste 116, Garden Grove, CA 92840-4855 | 2010-09-07 |
| 1396057246 | Jane Riehl | Marriage & Family Therapist | 12755 Brookhurst St Ste 116, Garden Grove, CA 92840-4855 | 2010-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| Find all providers in zip 92840 | ||||
| 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 |
|---|---|---|---|---|
| 1699324376 | Sylvia Arballo | Counselor | 5911 Santa Catalina Ave, Garden Grove, CA 92845-1131 | 2019-09-05 |
| 1326391483 | Jeannette M Hayden | Counselor | 12141 Brookhurst St Ste 201, Garden Grove, CA 92840-2865 | 2012-10-25 |
| 1639262611 | Belinda Dee Van Allen | Counselor | 7281 Garden Grove Blvd Ste H, Garden Grove, CA 92841-4212 | 2006-10-02 |
| 1619086535 | Ethel B. Hanna | Counselor | 12872 Valley View, Suite 7, Garden Grove, CA 92845 | 2006-08-30 |
| 1811481971 | Nguyen Pham | Counselor | 9862 Chapman Ave Suite B, Garden Grove, CA 92841 | 2018-06-21 |
| 1811440449 | Jaqueline Lara | Counselor | 12755 Brookhurst St, Garden Grove, CA 92840-4857 | 2016-08-01 |
| 1962867705 | Heather Koch | Counselor | 12141 Brookhurst St Ste 201, Garden Grove, CA 92840-2865 | 2015-12-21 |
| 1235501248 | Tania Sandoval | Counselor | 9862 Chapman Ave, Garden Grove, CA 92841-2726 | 2015-10-29 |
| 1306215322 | Angela Lin | Counselor | 12900 Garden Grove Blvd, Suite 214a, Garden Grove, CA 92843-2006 | 2015-09-21 |
| 1588032148 | Amber Nguyen | Counselor | 9862 Chapman Ave Ste B, Garden Grove, CA 92841-2726 | 2015-09-11 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
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| 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.