Active NPI
William Anthony Montelli, LPCC
- Mental Health Counselor
- Bowling Green, KY
National Provider Identifier
1689212656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 294104
- Practice address
- 700 Chestnut St
Bowling Green, KY 42101-2218 - Phone
- (270) 303-5767
- NPI assigned
- Dec 20, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 294104 | KY | Primary |
Addresses
Primary practice location
700 Chestnut St
Bowling Green, KY 42101-2218
Mailing address
549 Yulan Cir
Bowling Green, KY 42104-6701
Phone (270) 303-5767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 294104 | Other | KY | LPCC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294104 | KY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse Counseling LLC | Multi-Specialty | Current | Accepting new patients |
| LHC, LLC | Mental Health | Current | Accepting new patients |
Locations
700 Chestnut St
Bowling Green, KY 42101
Phone (270) 847-0529
Organizations & group practices 2
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": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1689212656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "549 YULAN CIR",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421046701",
"telephone_number": "270-303-5767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHESTNUT ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421012218",
"telephone_number": "270-303-5767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTELLI",
"first_name": "WILLIAM",
"middle_name": "ANTHONY",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-20",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "294104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPCC",
"identifier": "294104",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.