Active NPI
Michelle McQueen, MA, LPC
- Mental Health Counselor
- Godley, TX
National Provider Identifier
1013529361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 8501 CR 1009
Godley, TX 76044-7603 - Phone
- (817) 307-3108
- NPI assigned
- Aug 18, 2020
- Last updated
- Sep 7, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
8501 CR 1009
Godley, TX 76044-7603
Mailing address
PO Box 914
Cleburne, TX 76033-0914
Other practice location 1
8548 S Hulen St
Fort Worth, TX 76123-2741
Phone (817) 307-3108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96 | Other | COUNSELOR96 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | CLEBURNE | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1013529361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 914",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760330914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8501 CR 1009",
"city": "GODLEY",
"state": "TX",
"postal_code": "760447603",
"telephone_number": "817-307-3108"
}
],
"practiceLocations": [
{
"address_1": "8548 S Hulen St",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761232741",
"country_code": "US",
"telephone_number": "817-307-3108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCQUEEN",
"first_name": "MICHELLE",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-18",
"last_updated": "2021-09-07",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNSELOR96",
"identifier": "96",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "CLEBURNE",
"affiliation": "N",
"endpointDescription": "www.michellemcqueen.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "972-275-9009",
"address_1": "8501 CR 1009",
"city": "Godley",
"state": "TX",
"country_code": "US",
"postal_code": "760447603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Godley, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.