MEDICARE: MRS. LISA NICHOLE MONTGOMERY LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	E0004118	OH

General Provider Information

NPI Number	:	1811915226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LISA NICHOLE MONTGOMERY LPCC

Provider Business Mailing Address
First Line	:	3120 E MAIN ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43209-3707
Country	:	US
Telephone Number	:	614-231-1164
Fax Number	:	614-338-8059

Provider Business Practice Location Address
First Line	:	3120 E MAIN ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43209-3707
Country	:	US
Telephone Number	:	614-231-1164
Fax Number	:	614-338-8059

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1598760464 — ALAN G WEINBERG MD
Practice Location Address:

3120 E MAIN ST
COLUMBUS, OH
43209-3707

Practice Phone: 614-239-8844
Practice Fax: 614-239-8289

1821099136 — DAVID S BRANDT MD
Practice Location Address:

3120 E MAIN ST
COLUMBUS, OH
43209-3707

Practice Phone: 614-239-8844
Practice Fax:

1902198120 — PSYCHOLOGICAL ASSOCIATES INC.
Practice Location Address:

3120 E MAIN ST
COLUMBUS, OH
43209-3707

Practice Phone: 614-235-2000
Practice Fax:

1366415697 — JASON RICHARD MATHEWS MS, ATC, PTA
Practice Location Address:

180 E BROAD ST
COLUMBUS, OH
43215-3707

Practice Phone: 614-949-9166
Practice Fax:

1801942867 — DR. MARK ROBERT MONTONEY M.D.
Practice Location Address:

180 E BROAD ST
COLUMBUS, OH
43215-3707

Practice Phone: 614-544-4404
Practice Fax: 614-544-4450

1164540431 — MS. ANDREA M. BLAKELY STNA
Practice Location Address:

1748 BROOKFIELD SQ N
COLUMBUS, OH
43229-3707

Practice Phone: 614-885-6313
Practice Fax:

Directions to “ MRS. LISA NICHOLE MONTGOMERY LPCC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.