ANTONIO MONTILLA (LPC) – Professional Counselor, NPI 1356012488

ANTONIO MONTILLA (LPC) is a healthcare provider. based in Nacogdoches, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 81803 (TX). The NPI Number for ANTONIO MONTILLA (LPC) is 1356012488

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ANTONIO MONTILLA (LPC)
NPI
1356012488
Phone
(936) 558-6200
Address
3824 N UNIVERSITY DR
Enumeration Date
28 September 2021
Last Update Date
28 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9365886202
Graduation Year
2018 (8 years ago)
PAC ID
4284082173
Group Practice PAC ID
1254312077
Professional Enrollment ID
I20231204001381
Address ID
TX759651621NA3824XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,949 MENTAL HEALTH COUNSELOR in TX

Provider Addresses for ANTONIO MONTILLA (LPC)

  • 3824 N UNIVERSITY DR

    NACOGDOCHES, TX 759652011

    Phone: (936) 558-6200

    Mailing address matches the actual address.

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: 2023-12-04

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
I20231204001381IMental Health CounselorTXTBD

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 75965)

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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: 1254312077View full group profile
NameSpecialtyState
Mental Health CounselorTX
Mental Health CounselorTX
P S Y C H I A T R YAZ
Nurse PractitionerTX
Nurse PractitionerTX
P S Y C H I A T R YMO
Physician AssistantTX
Nurse PractitionerTX
Mental Health CounselorTX
Mental Health CounselorTX

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Frequently asked questions

What federal number belongs to ANTONIO MONTILLA (LPC)?
The federal identifier for ANTONIO MONTILLA (LPC) is NPI 1356012488.
Is ANTONIO MONTILLA (LPC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does ANTONIO MONTILLA (LPC) treat or focus on?
Patients typically see ANTONIO MONTILLA (LPC) under the specialty Professional Counselor. Clinical services aligned with this taxonomy classification.
Does ANTONIO MONTILLA (LPC) practice in Texas?
You will see Nacogdoches, Texas on file for ANTONIO MONTILLA (LPC) alongside any extra practice locations.
Is ANTONIO MONTILLA (LPC) a real provider?
This page reflects official NPPES data for NPI 1356012488. Always confirm identity and privileges with the practice and licensing boards.

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