Active NPI
Monique R. Bellamy, LPCC-S
- Professional Counselor
- Wilmington, OH
National Provider Identifier
1972889129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.1000373-SUPV
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240423002492 | OH | Practitioner - Mental Health Counselor | 7911346929 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.1000373-SUPV | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pike County Recovery Council Inc | Current | Accepting new patients | |
| Pike County Recovery Council Inc | Current | Accepting new patients | |
| FRS Counseling | Past | Accepting new patients | |
| FRS Counseling | Past | 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
- https://api.qualifacts.org/api/fhir/PikeCounty/r4/
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waverly, OH
- NPI 1760742993
-
- Addiction Medicine (Internal Medicine) Physician
- Cincinnati, OH
- NPI 1659769446
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hillsboro, OH
- NPI 1417917063
-
- Community/Behavioral Health Agency
- Hillsboro, OH
- NPI 1891055133
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.