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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: October 18, 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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

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

Healing From The Rhythms Within Inc.
3.4 mi
Professional
19925 LENNANE
Redford, MI 48240
  • Reassigned Medicare billing, Michigan enrollment
NPI 1477393494 (313) 706-8768
Ismail B. Sendi, MD, PC
23 mi
Mental Health (Including Community Mental Health Center)
6549 TOWN CENTER DR, SUITE A
Clarkston, MI 48346
  • Reassigned Medicare billing, Michigan enrollment
  • 132 clinicians in this Medicare group
NPI 1609882067 (248) 620-6400

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 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
AMAECHI DUROJAIYE BS
Technician, Other
29550 FIVE MILE RD
LIVONIA, MI 48154
Wayne County (800) 395-3223

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.

Which organizations bill Medicare for Takara Bolton-montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Takara Bolton-montgomery reassigns Medicare benefits to 2 organizations: Healing From The Rhythms Within Inc. (Redford, MI) and Ismail B. Sendi, MD, PC (Clarkston, MI). 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 Takara Bolton-montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Takara Bolton-montgomery accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Priority Health list Takara Bolton-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 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 2 months 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.