ALYSSA MONTAGUE (MA, LPC) – Professional Counselor, NPI 1104173566

ALYSSA MONTAGUE (MA, LPC) is a healthcare provider. based in Saginaw, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, LPC. They hold a License No. 6401013185 (MI). The NPI Number for ALYSSA MONTAGUE (MA, LPC) is 1104173566

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA MONTAGUE (MA, LPC)
NPI
1104173566
Phone
(989) 799-2100
Address
2100 Hemmeter Rd
Enumeration Date
4 August 2012
Last Update Date
3 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9896310241
Graduation Year
2012 (14 years ago)
PAC ID
0648708347
Group Practice PAC ID
5395187975
Professional Enrollment ID
I20250108003611
Address ID
MI486403350MI133XXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

Provider Addresses for ALYSSA MONTAGUE (MA, LPC)

  • 2100 Hemmeter Rd

    Saginaw, MI 486033944

    Phone: (989) 799-2100

    Fax: (989) 799-2637

    Type: Location

  • 133 N SAGINAW RD

    MIDLAND, MI 486403350

    Phone: (989) 631-0241

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250108003611IMental Health CounselorMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48603)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395187975View full group profile
NameSpecialtyState
Mental Health CounselorMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Can I use this page to confirm ALYSSA MONTAGUE (MA, LPC)'s NPI?
Yes. ALYSSA MONTAGUE (MA, LPC) is listed with NPI 1104173566 in the public NPI dataset.
Does CMS list ALYSSA MONTAGUE (MA, LPC) as active?
Yes — ALYSSA MONTAGUE (MA, LPC) is active in the NPI listing used on this page.
What is ALYSSA MONTAGUE (MA, LPC)'s primary classification?
Professional Counselor is the headline specialty for ALYSSA MONTAGUE (MA, LPC) here. Clinical services aligned with this taxonomy classification.
What address line appears for ALYSSA MONTAGUE (MA, LPC)?
ALYSSA MONTAGUE (MA, LPC)'s geographic hint is Saginaw, Michigan in our summary view.
Why does ALYSSA MONTAGUE (MA, LPC) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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