MARY MONTGOMERY (NPI# 1790226173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790226173 |
| Entity Type | Individual |
| Full Name | MARY MONTGOMERY |
| Practice Address |
693 S 400 E Brigham City UT 84302-2924 |
| Practice Telephone | 4357231799 |
| Mailing Telephone | 4357231799 |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447415963 | Mary Berno Montgomery | Case Manager/Care Coordinator | 307 S. Madison St, Giddings, TX 78942-4221 | 2008-07-24 |
| 1841346475 | Mary Ann Montgomery | Psychiatry & Neurology | 554 Prim St, Ashland, OR 97520-1570 | 2007-01-26 |
| 1790846475 | Mary L Montgomery | Nurse Practitioner | 2329 4th Ave, Seattle, WA 98121-1717 | 2006-12-13 |
| 1376626390 | Mary Susan Knowles Montgomery | Speech-Language Pathologist | 1018 Hagler Dr, Neptune Beach, FL 32266-3756 | 2006-10-23 |
| 1275621567 | Mary Courts Montgomery | Dietitian, Registered | 2408 Ridgeford Ct, Fuquay Varina, NC 27526-9000 | 2006-10-11 |
| 1518506468 | Mary A Montgomery | Physical Therapist | 625 Enterprise Dr, Oak Brook, IL 60523-8813 | 2019-12-24 |
| 1811535826 | Mary Montgomery | Technician | 5852 S Pecos Rd Ste 5, Las Vegas, NV 89120-3490 | 2019-12-20 |
| 1649824806 | Mary Montgomery | Case Manager/Care Coordinator | 1760 Texas St, Natchitoches, LA 71457-3429 | 2019-07-26 |
| 1043780026 | Mary Montgomery | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-12-03 |
| 1285126052 | Mary Jean Montgomery | Behavior Technician | 732 Beckman Street, Dayton, OH 45410-2165 | 2018-06-06 |
| Street Address |
693 S 400 E |
| City | BRIGHAM CITY |
| State | UT |
| Zip Code | 84302-2924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962728964 | Troy Hartman | Social Worker | 693 S 400 E, Brigham City, UT 84302-2924 | 2010-04-15 |
| 1285173617 | Manuel Cardona | Counselor | 693 S 400 E, Brigham City, UT 84302-2924 | 2017-02-17 |
| 1457757908 | Layne Andrews | Counselor | 693 S 400 E, Brigham City, UT 84302-2924 | 2014-11-11 |
| 1649674292 | Colton Wells | Counselor | 693 S 400 E, Brigham City, UT 84302-2924 | 2014-10-10 |
| 1760884290 | Mason Stewart | Counselor | 693 S 400 E, Brigham City, UT 84302-2924 | 2014-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669945531 | Brandon Lee Allen | Counselor | 971 South 800 West, #104, Brigham City, UT 84302 | 2019-01-03 |
| 1104307495 | Tiffany Burnhope | Social Worker | 663 Parker Lane, Brigham City, UT 84302 | 2018-08-24 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1497273130 | Emily Marler | Counselor | 862 South Main Suite 4, Brigham City, UT 84302 | 2017-09-01 |
| 1003268731 | Tyler Beckstrand | Social Worker | 125 N Main Street, Brigham City, UT 84302 | 2016-07-06 |
| 1780030155 | Angela Stott | Case Manager/Care Coordinator | 160 E 800 S Apt. B216, Brigham City, UT 84302 | 2016-05-04 |
| 1699156802 | Christopher Jacobson | Family Medicine | 1050 Medical Dr, Brigham City, UT 84302 | 2015-06-12 |
| 1811377765 | Courtney Allred | Counselor | 863 S Main Street Suite 2, Brigham, UT 84302 | 2015-06-05 |
| 1235529579 | Belinda Castro | Counselor | 862 S Main Street Suite 2, Brigham City, UT 84302 | 2015-01-26 |
| 1760871818 | Ambryn Mccallson | Counselor | 862 S. Main, 4, Brigham City, UT 84302 | 2015-01-13 |
| Find all providers in zip 84302 | ||||
| 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 |
|---|---|---|---|---|
| 1669945531 | Brandon Lee Allen | Counselor | 971 South 800 West, #104, Brigham City, UT 84302 | 2019-01-03 |
| 1992290084 | Shanna Janae Holt | Counselor | 971 S 800 W Ste 4, Brigham City, UT 84302-3042 | 2018-06-29 |
| 1356851745 | Michael Jeffrey Soholt | Counselor | 971 S 800 W, Brigham City, UT 84302-3042 | 2017-10-11 |
| 1497273130 | Emily Marler | Counselor | 862 South Main Suite 4, Brigham City, UT 84302 | 2017-09-01 |
| 1710377585 | David Jackson Johnson | Counselor | 862 S Main St Ste 2, Brigham City, UT 84302-3300 | 2015-01-30 |
| 1235529579 | Belinda Castro | Counselor | 862 S Main Street Suite 2, Brigham City, UT 84302 | 2015-01-26 |
| 1760871818 | Ambryn Mccallson | Counselor | 862 S. Main, 4, Brigham City, UT 84302 | 2015-01-13 |
| 1538561287 | Michael London | Counselor | 862 S Main Street #4, Brigham City, UT 84302 | 2014-09-24 |
| 1144634031 | Nikolas Andrew Sorensen | Counselor | 826 South Main St, Suite 4, Brigham City, UT 84302 | 2014-06-18 |
| 1497169825 | Wendy Bowers | Counselor | 862 S Main, Suite 4, Brigham City, UT 84302 | 2014-06-13 |
| Find all providers in BRIGHAM CITY | ||||
| City | BRIGHAM CITY |
| Zip Code | 84302 |
Please comment or provide details below to improve the information on MARY 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.