Individual provider Active NPI

Monty Lee Atchley, ED.D./LPC/LMFT

  • Professional Counselor
  • Greenwood, AR
National Provider Identifier
1881878478
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P0503017 Issued in AR
Practice address
16135 Highway 71 S
Greenwood, AR 72936-7218
Phone
(479) 206-1650
NPI assigned
Dec 19, 2007
Last updated
Dec 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P0503017 AR Primary
Marriage & Family Therapist 106H00000X M0507007 AR

Addresses

Primary practice location

16135 Highway 71 S
Greenwood, AR 72936-7218

Mailing address

PO Box 57
Greenwood, AR 72936-0057
Phone (479) 206-1650

Other identifiers 1

IdentifierTypeStateIssuer
174678719MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P0503017ARMDProfessional Counselor
M0507007ARMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stonehaven Behavioral Health and Wellness, Inc Current Accepting new patients

Locations

16135 Highway 71 S
Greenwood, AR 72936
Phone (479) 996-5433

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419552000000",
    "number": "1881878478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729360057",
            "telephone_number": "479-206-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16135 HIGHWAY 71 S",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729367218",
            "telephone_number": "479-206-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATCHLEY",
        "first_name": "MONTY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "ED.D./LPC/LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-19",
        "last_updated": "2014-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0503017",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "M0507007",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174678719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.