Individual provider Active NPI

Michelle T Reichard, LMHC

  • Mental Health Counselor
  • Miami Lakes, FL
National Provider Identifier
1003450289
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17495 Issued in FL
Practice address
14400 NW 77TH CT Ste 100
Miami Lakes, FL 33016-1590
Phone
(786) 916-6073
Fax
(786) 657-3092
NPI assigned
Oct 31, 2019
Last updated
Nov 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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 MH17495 FL Primary

Addresses

Primary practice location

14400 NW 77TH CT Ste 100
Miami Lakes, FL 33016-1590

Mailing address

14400 NW 77TH CT Ste 100
Miami Lakes, FL 33016-1590
Phone (786) 916-6073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231130000156 FL Practitioner - Mental Health Counselor 8820415052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

14400 NW 77TH CT
Suite 100
Miami Lakes, FL 33016-1590
Phone (786) 916-6073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH17495FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Recovery & Counseling LLC Mental Health CurrentSince Jan 1, 2017 Accepting new patients
Advanced Recovery & Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

18300 NW 62nd Ave
Ste 210
Miami Gardens, FL 33015
Phone (305) 474-4960

14400 NW 77th Ct
Ste 100
Miami Lakes, FL 33016
Phone (786) 916-6073

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHBDDD/Endpoint/IHBDDD

Organizations & group practices 2

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": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1003450289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 NW 77TH CT STE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161590",
            "telephone_number": "786-916-6073",
            "fax_number": "786-657-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 NW 77TH CT STE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161590",
            "telephone_number": "786-916-6073",
            "fax_number": "786-657-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHARD",
        "first_name": "MICHELLE",
        "middle_name": "T",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.