Individual provider Active NPI

William Anthony Montelli, LPCC

  • Mental Health Counselor
  • Bowling Green, KY
National Provider Identifier
1689212656
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
294104 Issued in KY
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

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
294104OtherKYLPCC

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
294104KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Counseling LLC Multi-Specialty CurrentSince Feb 13, 2025 Accepting new patients
LHC, LLC Mental Health CurrentSince Feb 2, 2025 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

Verify at the official NPI Registry.