1. Home
  2. Directory
  3. Minnesota
  4. Minnetonka
  5. Counselor
  6. NPI Profile

WHITLEY MONTGOMERY MA, LPCC
NPI 1184107682
Counselor - Mental Health in Minnetonka, MN

Active since September 11, 2018PECOS Enrolled
3395 PLYMOUTH ROAD, MINNETONKA, MN 55305(952) 939-0396(952) 548-8760 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Whitley Montgomery Ma, Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITLEY MONTGOMERY MA, LPCC (NPI 1184107682) is an individual mental health provider in Minnetonka, Minnesota, licensed in Minnesota (CC01916) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184107682
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameWHITLEY MONTGOMERYCredential: MA, LPCC
Location Address3395 PLYMOUTH ROADMinnetonka, MN 55305
Mailing Address3395 Plymouth RdMinnetonka, MN 55305-3765
Phone(952) 939-0396
Fax(952) 548-8760
Sole ProprietorNo
Enumeration DateSeptember 11, 2018
✔ NPI 1184107682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · CC01916
3395 PLYMOUTH ROAD, Minnetonka, MN 55305
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Whitley Montgomery Ma, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Whitley Montgomery reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ramsey County Mental Health Center
13 mi
Mental Health (Including Community Mental Health Center)
1919 UNIVERSITY AVE W, SUITE 200
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 55 clinicians in this Medicare group
NPI 1235299124 (651) 266-7999
St. Croix Psychiatric, LLC
24 mi
Psychiatry
7616 CURRELL BLVD, SUITE 100
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 127 clinicians in this Medicare group
NPI 1881849586 (651) 259-9700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELEANOR LYNN COWGER
Marriage & Family Therapist
3395 PLYMOUTH ROAD
MINNETONKA, MN 55305
Hennepin County (952) 548-8693
MS. ELYSSA MARGARET BLACK LSW
Social Worker
3395 PLYMOUTH ROAD, ST. DAVID'S CENTER
MINNETONKA, MN 55305
Hennepin County (952) 939-0396

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Whitley Montgomery's NPI number?

The NPI number for Whitley Montgomery is 1184107682. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Whitley Montgomery located?

Whitley Montgomery practices at 3395 Plymouth Road, Minnetonka, MN 55305. The listed phone number is (952) 939-0396.

What is Whitley Montgomery's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Whitley Montgomery enrolled in Medicare?

Yes. Whitley Montgomery is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Whitley Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Whitley Montgomery reassigns Medicare benefits to 2 organizations: Ramsey County Mental Health Center (Saint Paul, MN) and St. Croix Psychiatric, LLC (Woodbury, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Whitley Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Whitley Montgomery accept?

Health plans from HealthPartners list Whitley Montgomery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Whitley Montgomery was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.