Individual provider Active NPI

Brent Adam Reichenbach, MA, LPCC, LCADC

  • Professional Counselor
  • Monticello, KY
National Provider Identifier
1154461408
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
104171 Issued in KY
Practice address
80 Rolling Hills Blvd
Monticello, KY 42633-9005
Phone
(606) 343-0216
Fax
(606) 343-0224
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 104171 KY Primary

Addresses

Primary practice location

80 Rolling Hills Blvd
Monticello, KY 42633-9005

Mailing address

80 Rolling Hills Blvd
Monticello, KY 42633-9005
Phone (606) 343-0216

Other identifiers 1

IdentifierTypeStateIssuer
7100302690MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250917003713 KY Practitioner - Mental Health Counselor 1355845801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

121 S Highland St
Winchester, KY 40391-2003

80 Rolling Hills Blvd
Monticello, KY 42633-9005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Academy, Inc. CurrentSince Sep 3, 2025 Accepting new patients

Locations

132 Foothills Ave
Albany, KY 42602
Phone (606) 387-0567

80 Rolling Hills Blvd
Monticello, KY 42633
Phone (606) 343-0216

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1154461408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ROLLING HILLS BLVD",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426339005",
            "telephone_number": "606-343-0216",
            "fax_number": "606-343-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ROLLING HILLS BLVD",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426339005",
            "telephone_number": "606-343-0216",
            "fax_number": "606-343-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHENBACH",
        "first_name": "BRENT",
        "middle_name": "ADAM",
        "credential": "MA, LPCC, LCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "104171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100302690",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, KY

Sources for this page

Verify at the official NPI Registry.