Active NPI
Monty Lee Atchley, ED.D./LPC/LMFT
- Professional Counselor
- Greenwood, AR
National Provider Identifier
1881878478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P0503017
- Practice address
- 16135 Highway 71 S
Greenwood, AR 72936-7218 - Phone
- (479) 206-1650
- NPI assigned
- Dec 19, 2007
- Last updated
- Dec 26, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174678719 | Medicaid | AR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| P0503017 | AR | MD | Professional Counselor |
| M0507007 | AR | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greenwood, AR
- NPI 1649678665
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.