Individual provider Active NPI

Stephanie D. Montgomery, LPCC

  • Mental Health Counselor
  • Henderson, KY
National Provider Identifier
1952799355
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
165585 Issued in KY
Practice address
203 N Elm St
Henderson, KY 42420-3132
Phone
(270) 826-8761
Fax
(270) 826-8737
NPI assigned
Jan 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 165585 KY Primary

Addresses

Primary practice location

203 N Elm St
Henderson, KY 42420-3132

Mailing address

203 N Elm St
Henderson, KY 42420-3132
Phone (270) 826-8761

Other practice location 1

920 Frederica St Ste 407
Owensboro, KY 42301-3079
Phone (270) 689-0073

Other identifiers 1

IdentifierTypeStateIssuer
7100401300MedicaidKY

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
I20241210001444 KY Practitioner - Mental Health Counselor 8820524184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lighthouse Counseling Services IncGroup PAC ID 4789839028, 7 clinicians

Practice addresses (Care Compare)

203 N Elm St
Henderson, KY 42420-3132
Phone (270) 826-8761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Counseling Services, Inc. Mental Health CurrentSince Nov 11, 2024 Accepting new patients

Locations

203 N Elm St
Henderson, KY 42420
Phone (270) 826-8761

230 2nd St
Ste 406
Henderson, KY 42420
Phone (270) 826-8761

920 Frederica St
Ste 407
Owensboro, KY 42301
Phone (270) 684-1077

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": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1952799355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203132",
            "telephone_number": "270-826-8761",
            "fax_number": "270-826-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203132",
            "telephone_number": "270-826-8761",
            "fax_number": "270-826-8737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Frederica St Ste 407",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423013079",
            "country_code": "US",
            "telephone_number": "270-689-0073",
            "fax_number": "270-689-0083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "STEPHANIE",
        "middle_name": "D.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "165585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100401300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.