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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TAKARA DASHELLE BOLTON-MONTGOMERY LPC
NPI 1245779891
Counselor - Professional in Livonia, MI

Active since February 15, 2017PECOS Enrolled
29550 FIVE MILE RD, LIVONIA, MI 48154(800) 395-3223 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 12, 2026, Apr 2, 2026, Jan 20, 2026 and 1 more (4 updates tracked since 2017).

About Takara Dashelle Bolton-montgomery Lpc NPPES

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

TAKARA DASHELLE BOLTON-MONTGOMERY LPC (NPI 1245779891) is an individual professional provider in Livonia, Michigan, licensed in Michigan (6401225470) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1245779891
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTAKARA DASHELLE BOLTON-MONTGOMERYCredential: LPC
Location Address29550 FIVE MILE RDLivonia, MI 48154-3710
Mailing Address26545 American DrSouthfield, MI 48034-6115 · (800) 395-3223
Phone(800) 395-3223
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 15, 2017
Last NPPES UpdateAugust 12, 20264 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1245779891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401225470
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
29550 FIVE MILE RD, Livonia, MI 48154
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Takara Dashelle Bolton-montgomery Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234611179
PECOS Enrollment IDI20260302000198
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.

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.

TASHAWNA BURTON
Technician, Other
29550 FIVE MILE RD
LIVONIA, MI 48154
Wayne County (800) 395-3223
JACOB ROWLAND LPC
Counselor (Professional)
29550 FIVE MILE RD
LIVONIA, MI 48154
Wayne County (800) 395-3223
MR. DAVID FREDERICK GARCIA LLP
Psychologist (Clinical)
29550 FIVE MILE RD
LIVONIA, MI 48154
Wayne County (800) 395-3223
KIYONNA JONES LLMSW
Social Worker (Clinical)
29550 FIVE MILE RD
LIVONIA, MI 48154
Wayne County (800) 395-3223
CANDES NICOLE ANDERSON-GRAY LMSW
Social Worker (Clinical)
29550 FIVE MILE RD
LIVONIA, MI 48154
Wayne County (800) 395-3223
SCOTT BAKER
Technician, Other
29550 FIVE MILE RD
LIVONIA, MI 48154
Wayne County (800) 395-3223
EMMA SUZANNE WASHINGTON
Technician, Other
29550 FIVE MILE RD
LIVONIA, MI 48154
Wayne County (800) 395-3223
KATHERINE WOLFE LLBSW
Social Worker
29550 FIVE MILE RD
LIVONIA, MI 48154
Wayne County (734) 772-9548

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 Takara Bolton-montgomery's NPI number?

The NPI number for Takara Bolton-montgomery is 1245779891. It was assigned to this individual provider in the NPPES registry on February 15, 2017.

Where is Takara Bolton-montgomery located?

Takara Bolton-montgomery practices at 29550 Five Mile Rd, Livonia, MI 48154. The listed phone number is (800) 395-3223.

What is Takara Bolton-montgomery's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Takara Bolton-montgomery enrolled in Medicare?

Yes. Takara Bolton-montgomery is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Takara Bolton-montgomery was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.