Individual provider Active NPI

Monique R. Bellamy, LPCC-S

  • Professional Counselor
  • Wilmington, OH
National Provider Identifier
1972889129
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1000373-SUPV Issued in OH
Practice address
485 W Main St
Wilmington, OH 45177-2174
Phone
(833) 510-4357
NPI assigned
Nov 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.1000373-SUPV OH Primary

Addresses

Primary practice location

485 W Main St
Wilmington, OH 45177-2174

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357

Other practice location 1

104 Erin Ct
Hillsboro, OH 45133-8591
Phone (937) 393-4562 ext. 507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240423002492 OH Practitioner - Mental Health Counselor 7911346929 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1000373-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pike County Recovery Council Inc CurrentSince Mar 10, 2024 Accepting new patients
Pike County Recovery Council Inc CurrentSince Mar 10, 2024 Accepting new patients
FRS Counseling PastSince Aug 14, 2022 Accepting new patients
FRS Counseling PastSince Mar 6, 2018 Accepting new patients
Brightview, LLC Past Accepting new patients

Locations

2266 Wakefield Mound Rd
Piketon, OH 45661
Phone (516) 343-2772

196 E Emmitt Ave
Waverly, OH 45690
Phone (740) 912-9499

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/PikeCounty/r4/
  • FHIR API: https://api.qualifacts.org/api/fhir/frscounseling/r4/

Organizations & group practices 5

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": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1972889129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 W MAIN ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772174",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Erin Ct",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OH",
            "postal_code": "451338591",
            "country_code": "US",
            "telephone_number": "937-393-4562 x507",
            "fax_number": "937-393-2056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLAMY",
        "first_name": "MONIQUE",
        "middle_name": "R.",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1000373-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

Verify at the official NPI Registry.