Whitley Montgomery, MA, LPCC in Minnetonka, MN

Whitley Montgomery, MA, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Minnetonka, Minnesota. Her current practice location is 3395 Plymouth Road, Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 939-0396.

Whitley Montgomery is licensed to practice in Minnesota (license number CC01916) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184107682.

Contact Information

	Whitley Montgomery, MA, LPCC
	3395 Plymouth Road, Minnetonka, MN 55305
	(952) 939-0396
	(952) 548-8760

Map and Direction

Healthcare Provider's Profile

Full Name	Whitley Montgomery
Gender	Female
Speciality	Counselor - Mental Health
Location	3395 Plymouth Road, Minnetonka, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184107682
Provider Enumeration Date: 09/11/2018
Last Update Date: 09/11/2018

Medicare PECOS Information:

PECOS PAC ID: 0042651705
Enrollment ID: I20240513000364

Medical Identifiers

Medical identifiers for Whitley Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184107682	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	CC01916 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Whitley Montgomery allows following entities to bill medicare on her behalf.

Entity Name	St Croix Psychiatric Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881849586 PECOS PAC ID: 9335288786 Enrollment ID: O20091125000166

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Whitley Montgomery is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Whitley Montgomery, MA, LPCC 3395 Plymouth Rd, Minnetonka, MN 55305-3765 Ph: () -	Whitley Montgomery, MA, LPCC 3395 Plymouth Road, Minnetonka, MN 55305 Ph: (952) 939-0396

Reviews and Comments

Counselor in Minnetonka, MN

James Patrick Mcenroe, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11900 Wayzata Blvd Ste 100, Minnetonka, MN 55305 Phone: 612-454-2412 Fax: 952-546-1683
Michelle Carey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10101 Bren Rd E Unit 414, Minnetonka, MN 55343 Phone: 763-242-1659
Jamie L.k. Rohwer, L.P.C.C. Counselor Medicare: Medicare Enrolled Practice Location: 5125 County Road 101, Suite 300, Minnetonka, MN 55345 Phone: 952-932-7277 Fax: 952-932-9827
Jordan Nielsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 Carlson Pkwy Apt 105, Minnetonka, MN 55305 Phone: 763-744-7359
Meghan Elizabeth Hof, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3395 Plymouth Rd, Minnetonka, MN 55305 Phone: 952-939-0396
Charell Dutton, Counselor Medicare: Medicare Enrolled Practice Location: 13100 Wayzata Blvd Ste 200, Minnetonka, MN 55305 Phone: 952-206-2040
Jennifer Petzoldt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5860 Baker Rd, Minnetonka, MN 55345 Phone: 612-759-2697

Whitley Montgomery, MA, LPCC - Medicare Counselor in Minnetonka, MN