JADE D MONTGOMERY (NPI# 1952772774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952772774 |
| Entity Type | Individual |
| Full Name | JADE D MONTGOMERY |
| Practice Address |
1301 Youree Dr Shreveport LA 71101-5117 |
| Mailing Address |
3215 Knight Street Apt #168 Shreveport LA 71105 |
| Practice Telephone | 3186750804 |
| Mailing Telephone | 3189348225 |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2018-03-17 |
| 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 | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1504 Barksdale Blvd, Bossier, LA 71111 | 3182224299 |
| Street Address |
1301 YOUREE DR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-5117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629373584 | Linda Ann Butler-moore | Counselor | 1301 Youree Dr, Shreveport, LA 71101-5117 | 2011-01-24 |
| 1578109070 | Trisha Adams | Case Manager/Care Coordinator | 1301 Youree Dr, Shreveport, LA 71101-5117 | 2019-11-20 |
| 1134776594 | Karanda Jackson | Case Manager/Care Coordinator | 1301 Youree Dr, Shreveport, LA 71101-5117 | 2019-08-21 |
| 1194387936 | Brandi Taylor | Case Manager/Care Coordinator | 1301 Youree Dr, Shreveport, LA 71101-5117 | 2019-07-02 |
| 1669937082 | Tadario Woods | Case Manager/Care Coordinator | 1301 Youree Dr, Shreveport, LA 71101-5117 | 2019-02-11 |
| 1346711868 | Aaron Mauch | Case Manager/Care Coordinator | 1301 Youree Dr, Shreveport, LA 71101-5117 | 2018-12-10 |
| 1497223549 | Antoinette Stephens Powell | Case Manager/Care Coordinator | 1301 Youree Dr, Shreveport, LA 71101-5117 | 2018-11-07 |
| 1366910622 | Ariel D Jewett | Case Manager/Care Coordinator | 1301 Youree Dr, Shreveport, LA 71101 | 2018-11-05 |
| 1740769546 | Shacorye Hamlin | Case Manager/Care Coordinator | 1301 Youree Dr, Shreveport, LA 71101-5117 | 2018-08-13 |
| 1720574452 | Boris Bartley | Case Manager/Care Coordinator | 1301 Youree Dr, Shreveport, LA 71101-5117 | 2018-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| 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 |
|---|---|---|---|---|
| 1962020479 | Whites All Star Consultant | Counselor | 631 E 85th St, Shreveport, LA 71106-5819 | 2020-07-10 |
| 1063046381 | Sharon H Harris | Counselor | 4420 Fairway Dr, Shreveport, LA 71109-4002 | 2020-02-25 |
| 1316422785 | Valencia Sims | Counselor | 6143 Buncombe Rd, Shreveport, LA 71129-4109 | 2018-10-01 |
| 1467954909 | Staughton Jennings | Counselor | 8501 Millicent Way Apt 1085, Shreveport, LA 71115-2231 | 2018-02-28 |
| 1790283638 | Brookys Haven | Counselor | 217 Jones St, Shreveport, LA 71101-4021 | 2018-01-25 |
| 1356859680 | Keshunna Goode | Counselor | 6308 Border Ln, Shreveport, LA 71119-7204 | 2018-01-22 |
| 1407364409 | Kelly Jane Casey | Counselor | 2620 Centenary Blvd Ste 207, Shreveport, LA 71104-3350 | 2018-01-12 |
| 1932619442 | Mark Bolding | Counselor | 8021 Fairfield Ave, Shreveport, LA 71106-5627 | 2017-10-10 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619493830 | Amri A Warren | Counselor | 2403 Helmsdale Ct, Shreveport, LA 71118-4546 | 2017-08-18 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on JADE D 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.