GABRIELLE ELISE MONTANA LPC, SAC-IT
NPI 1679245732
Counselor - Addiction (Substance Use Disorder) in Stoughton, WI

Active since September 28, 2021Opted out of Medicare · through Jan 28, 2028
3185 DEER POINT DR STE A, STOUGHTON, WI 53589(608) 873-7838 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2022, May 5, 2022, Apr 22, 2022 and 1 more (4 updates tracked since 2021).

About Gabrielle Elise Montana Lpc, Sac-it NPPES

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

GABRIELLE ELISE MONTANA LPC, SAC-IT (NPI 1679245732) is an individual addiction (substance use disorder) provider in Stoughton, Wisconsin, licensed in Wisconsin (8514-125) and active in the NPI registry since September 2021. She has opted out of Medicare through January 28, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679245732
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameGABRIELLE ELISE MONTANACredential: LPC, SAC-IT
Location Address3185 DEER POINT DR STE AStoughton, WI 53589-3773
Mailing Address5944 Seminole Centre Ct Ste 130Fitchburg, WI 53711-5019 · (815) 914-4010
Sole ProprietorNo
Enumeration DateSeptember 28, 2021
Last NPPES UpdateAugust 5, 20224 updates tracked since enumeration
NPPES CertifiedAugust 5, 2022
NPI 1679245732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WI · 8514-125
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 4631-226 (WI), 8514-125 (WI)
3185 DEER POINT DR STE A, Stoughton, WI 53589

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Gabrielle Elise Montana Lpc, Sac-it has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 28, 2024 through January 28, 2028.

Opt-Out Effective DateJanuary 28, 2024
Opt-Out In Effect ThroughJanuary 28, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 6

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

Counselor (Mental Health)
3185 DEER POINT DR STE A
STOUGHTON, WI 53589
Social Worker (Clinical)
3185 DEER POINT DR STE A
STOUGHTON, WI 53589
Counselor (Addiction (Substance Use Disorder))
3185 DEER POINT DR STE A
STOUGHTON, WI 53589
Marriage & Family Therapist
3185 DEER POINT DR STE A
STOUGHTON, WI 53589
Social Worker
3185 DEER POINT DR STE A
STOUGHTON, WI 53589
Social Worker (Clinical)
3185 DEER POINT DR STE A
STOUGHTON, WI 53589

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 Gabrielle Montana's NPI number?

The NPI number for Gabrielle Montana is 1679245732. It was assigned to this individual provider in the NPPES registry on September 28, 2021.

Where is Gabrielle Montana located?

Gabrielle Montana practices at 3185 Deer Point Dr Ste A, Stoughton, WI 53589. The listed phone number is (608) 873-7838.

What is Gabrielle Montana's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Gabrielle Montana enrolled in Medicare?

No. Gabrielle Montana has opted out of Medicare through January 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Gabrielle Montana was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.