Michelle T Reichard, LMHC
Individual provider Active NPI Mental Health Counselor · Miami Lakes, FL
NPI 1003450289 · NPPES record last updated Nov 11, 2021
Key facts
- NPI
- 1003450289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH17495 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Advanced Recovery and Counseling LLC
Practice addresses (Care Compare)
14400 NW 77TH CT
Suite 100
Miami Lakes, FL 33016-1590
Phone (786) 916-6073
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231130000156 | FL | Practitioner - Mental Health Counselor | 8820415052 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Recovery & Counseling LLC | Mental Health | Current |
Accepting new patients |
| Advanced Recovery & Counseling LLC | Current |
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
- https://fhir4.healow.com/fhir/r4/IHBDDD/Endpoint/IHBDDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH17495 | FL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104755700 | Medicaid | FL |
Other providers in Miami Lakes, FL
- Reflections Wellness Center Inc
- Genesis Beatriz Regalado Diaz
- Alberto Rego
- Rehab and Recovery Lab
- Rehab World Corp
- Remedys Nutrition CV
- Renascence Therapy Center, Inc
- Elaine Renovales Delgado
- Renovation Health Care LLC
- Renovation of Life Dialysis Center, Corp.
All providers in Miami Lakes, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.