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MR. KEVIN J MONTAGUE MS, LPC, LSAC, LSW
NPI 1992078828
Counselor - Professional in Balsam Lake, WI

Active since February 23, 2012PECOS EnrolledAccepts Medicare Assignment
100 POLK COUNTY PLZ, STE 50, BALSAM LAKE, WI 54810(715) 485-8862(715) 485-8450 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 10, 2017, Jan 26, 2017 (2 updates tracked since 2017).

About Mr. Kevin J Montague Ms, Lpc, Lsac, Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN J MONTAGUE MS, LPC, LSAC, LSW (NPI 1992078828) is an individual professional provider in Balsam Lake, Wisconsin, licensed in Wisconsin (6332-125) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1992078828
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. KEVIN J MONTAGUECredential: MS, LPC, LSAC, LSW
Location Address100 POLK COUNTY PLZ, STE 50Balsam Lake, WI 54810-9071
Mailing Address100 Polk County Plz, Ste 50Balsam Lake, WI 54810-9071 · (715) 485-8862 · Fax (715) 485-8450
Phone(715) 485-8862
Fax(715) 485-8450
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 23, 2012
Last NPPES UpdateMay 10, 20172 updates tracked since enumeration
✔ NPI 1992078828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 6332-125
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 15908-132 (WI), 8078-120 (WI)
100 POLK COUNTY PLZ, Balsam Lake, WI 54810
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kevin J Montague Ms, Lpc, Lsac, Lsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688162894
PECOS Enrollment IDI20251021001239
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Montague reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Polk County Dept Of Administration
Same address
Community/Behavioral Health
100 POLK COUNTY PLZ STE 180
Balsam Lake, WI 54810
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4 clinicians in this Medicare group
NPI 1083837298 (715) 485-8400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN HALE LSW
Case Manager/Care Coordinator
100 POLK COUNTY PLZ, SUITE 50
BALSAM LAKE, WI 54810
Polk County (715) 485-8417
POLK COUNTY HEALTH DEPT
Public Health or Welfare
100 POLK COUNTY PLZ, SUITE 180
BALSAM LAKE, WI 54810
Polk County (715) 485-8500
ROBERTA J CARLSON MS, LMFT, LSW
Counselor (Mental Health)
100 POLK COUNTY PLZ, SUITE 50
BALSAM LAKE, WI 54810
Polk County (715) 485-8465
EMILY C OVIK SW LSW
Case Manager/Care Coordinator
100 POLK COUNTY PLZ, SUITE 50
BALSAM LAKE, WI 54810
Polk County (715) 485-8467
GERRY R MORGAN LSW
Case Manager/Care Coordinator
100 POLK COUNTY PLZ, SUITE 50
BALSAM LAKE, WI 54810
Polk County (715) 485-8420
ANGELA JOY LSW
Case Manager/Care Coordinator
100 POLK COUNTY PLZ, SUITE 50
BALSAM LAKE, WI 54810
Polk County (715) 485-8416
LEAH LOEFFLER
Counselor (Addiction (Substance Use Disorder))
100 POLK COUNTY PLZ
BALSAM LAKE, WI 54810
Polk County (715) 485-8513
MS. KAREN RUSCH LCSAC, LICS
Counselor (Addiction (Substance Use Disorder))
100 POLK COUNTY PLZ, SUITE 50
BALSAM LAKE, WI 54810
Polk County (715) 485-8464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Montague's NPI number?

The NPI number for Kevin Montague is 1992078828. It was assigned to this individual provider in the NPPES registry on February 23, 2012.

Where is Kevin Montague located?

Kevin Montague practices at 100 Polk County Plz Ste 50, Balsam Lake, WI 54810. The listed phone number is (715) 485-8862.

What is Kevin Montague's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kevin Montague enrolled in Medicare?

Yes. Kevin Montague is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kevin Montague's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Montague reassigns Medicare benefits to Polk County Dept Of Administration (Balsam Lake, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Montague's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Montague accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Security Health Plan list Kevin Montague as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Montague was last updated on May 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.