Provider Demographics
NPI:1275810087
Name:MONTERO, HENRY A (LMHC, CASAC, CTTS)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:A
Last Name:MONTERO
Suffix:
Gender:M
Credentials:LMHC, CASAC, CTTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2248 BROADWAY STE 1329
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5805
Mailing Address - Country:US
Mailing Address - Phone:315-610-6675
Mailing Address - Fax:914-505-2458
Practice Address - Street 1:246 W 80TH ST
Practice Address - Street 2:FL 4 STE 15
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024
Practice Address - Country:US
Practice Address - Phone:315-505-2400
Practice Address - Fax:914-505-2458
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005404-1261QM0850X, 101YM0800X
PAPC012896101YM0800X
NY1926172084P0800X
NJ37PC00516400101YM0800X
AZLPC-19636101YM0800X
NY27480101YA0400X
FLMH18912101YM0800X
CT005022101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1932631801OtherNPI
NY1275810087OtherNPI
NY1932631801OtherNPI