ROBERT E MONTGOMERY LPCC
NPI 1861460388
Counselor - Professional in Zanesville, OH

NPI Status: Active since March 10, 2006

Contact Information

2845 BELL ST
ZANESVILLE, OH
ZIP 43701
Phone: (740) 454-9766
Fax: (740) 588-6452

Get Directions Write a Review

  • Individual
  • Male
  • Years of Experience 48
  • Counselor
  • Professional
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ROBERT MONTGOMERY

This page provides the complete NPI Profile along with additional information for Robert Montgomery, a provider established in Zanesville, Ohio with a medical specialization in Counselor, focusing in professional and more than 48 years of experience. The healthcare provider is registered in the NPI registry with number 1861460388 assigned on March 2006. The practitioner's primary taxonomy code is 101YP2500X with license number E514 (OH). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1861460388
Provider Name
ROBERT E MONTGOMERY LPCC
Gender
Male
Entity Type
Individual
Location Address
2845 BELL ST ZANESVILLE, OH 43701
Location Phone
(740) 454-9766
Location Fax
(740) 588-6452
Mailing Address
2845 BELL ST ZANESVILLE, OH 43701
Mailing Phone
(740) 454-9766
Mailing Fax
(740) 588-6452
Medical School Name
OTHER
Graduation Year
1978
Is Sole Proprietor?
No
Enumeration Date
03-10-2006
Last Update Date
09-12-2023
Code Navigator

Location Map

Secondary Locations

  • 915 S Riverside Dr NE
    McConnelsville, OH 43756
    (740) 962-5204

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
E514
License State
OH

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze $8,300 w/ Adult Dental ON-EX - HMO
  • Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
  • Bronze HSA $7,300 ON-EX - HMO
  • Bronze Standard w/ Virtual & Wellness - HMO
  • Gold $1,000 w/ Adult Dental ON-EX - HMO
  • Gold $1,000 w/ Virtual & Wellness ON-EX - HMO
  • Gold $500 w/ Virtual & Wellness ON-EX - HMO
  • Gold Standard w/ Virtual & Wellness - HMO
  • Silver $5,000 w/ Adult Dental ON-EX - HMO
  • Silver $5,000 w/ Virtual & Wellness ON-EX - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000000218885OTHER (01)OHANTHEM PIN
142267OTHER (01)OHCOMPPSYCH BH PIN
2032247OTHER (01)OHCIGNA PIN
3730OTHER (01)OHFEI BH PIN
6207975OTHER (01)OHUNITED BH PIN
7636250OTHER (01)OHAETNA PIN
0180406MEDICAID (05)OH 
110886000OTHER (01)OHMAGELLAN PIN
212250OTHER (01)OHTRICARE/MHN PIN
Y147346OTHER (01)OHTHE HEALTH PLAN PIN

Medicare Participation & PECOS Enrollment Status

Robert Montgomery is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Robert Montgomery is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4082064019

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240103000770

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for ROBERT E MONTGOMERY LPCC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1861460388, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 2 + 1 + 8 + 6 + 0 + 3 + 1 + 6 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1861460388.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
2845 BELL ST
ZANESVILLE, OH 43701
Social Worker (Clinical)
2845 BELL ST
ZANESVILLE, OH 43701
Family Medicine
2845 BELL ST
ZANESVILLE, OH 43701
Social Worker (Clinical)
2845 BELL ST
ZANESVILLE, OH 43701
Social Worker (Clinical)
2845 BELL ST
ZANESVILLE, OH 43701
Psychologist (Counseling)
2845 BELL ST
ZANESVILLE, OH 43701
Social Worker
2845 BELL ST
ZANESVILLE, OH 43701
Social Worker (Clinical)
2845 BELL ST
ZANESVILLE, OH 43701
Social Worker
2845 BELL ST
ZANESVILLE, OH 43701
Social Worker
2845 BELL ST
ZANESVILLE, OH 43701
Counselor (Professional)
2845 BELL ST
ZANESVILLE, OH 43701
Social Worker (Clinical)
2845 BELL ST
ZANESVILLE, OH 43701
Counselor (Mental Health)
2845 BELL ST
ZANESVILLE, OH 43701
Counselor
2845 BELL ST
ZANESVILLE, OH 43701
Social Worker
2845 BELL ST
ZANESVILLE, OH 43701
Social Worker
2845 BELL ST
ZANESVILLE, OH 43701
Social Worker
2845 BELL ST
ZANESVILLE, OH 43701
Social Worker
2845 BELL ST
ZANESVILLE, OH 43701
Social Worker (Clinical)
2845 BELL ST
ZANESVILLE, OH 43701
Counselor (Mental Health)
2845 BELL ST
ZANESVILLE, OH 43701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861460388, enumerated as an "individual" on March 10, 2006.

The provider is located at 2845 BELL ST ZANESVILLE, OH 43701 and the phone number is (740) 454-9766.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: MedMutual, Anthem Blue Cross, Medicare, Medicaid,. Please consult your insurance carrier or call the provider to verify.