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KEVIN MONTGOMERY
NPI 1194372292
Counselor in Tupelo, MS

Active since August 22, 2019
2434 S EASON BLVD, TUPELO, MS 38804(662) 640-4595(662) 680-6416 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Montgomery NPPES

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

KEVIN MONTGOMERY (NPI 1194372292) is an individual counselor in Tupelo, Mississippi and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1194372292
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameKEVIN MONTGOMERY
Location Address2434 S EASON BLVDTupelo, MS 38804-6942
Mailing Address2434 S Eason BlvdTupelo, MS 38804-6942 · (662) 640-4595 · Fax (662) 680-6416
Phone(662) 640-4595
Fax(662) 680-6416
Sole ProprietorNo
Enumeration DateAugust 22, 2019
✔ NPI 1194372292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
2434 S EASON BLVD, Tupelo, MS 38804
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Other Identifiers 1

Medicaid00018203MS

Other Providers at the Same Location NPPES 20

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

TIFFANY BROWN
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
ALYSSA BRIDGES
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
CENTRELL GARDNER
Counselor
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
KAYLA HARRIS
Counselor
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 810-4125
KEYAIRA STANDIFER
Counselor
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
MS. CAROLEE ELIZABETH SMITH MSSW
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 844-1717
JAN HARRIS
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595
JOZIE GUNTER
Counselor (Mental Health)
2434 S EASON BLVD
TUPELO, MS 38804
Lee County (662) 640-4595

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 Kevin Montgomery's NPI number?

The NPI number for Kevin Montgomery is 1194372292. It was assigned to this individual provider in the NPPES registry on August 22, 2019.

Where is Kevin Montgomery located?

Kevin Montgomery practices at 2434 S Eason Blvd, Tupelo, MS 38804. The listed phone number is (662) 640-4595.

What is Kevin Montgomery's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kevin Montgomery was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.