Active NPI
Michael Edgette, LCMHC-A
- Mental Health Counselor
- Burlington, NC
National Provider Identifier
1053204164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A21314
- Practice address
- 963 Kirkpatrick Rd
Burlington, NC 27215-8911 - Phone
- (336) 229-5905
- NPI assigned
- May 29, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | A21314 | NC | Primary |
Addresses
Primary practice location
963 Kirkpatrick Rd
Burlington, NC 27215-8911
Mailing address
304 Myra CT
Kernersville, NC 27284-2464
Phone (336) 402-2483
Other practice location 1
304 Myra Ct
Kernersville, NC 27284-2464
Phone (336) 402-2483
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A21314 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1053204164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 MYRA CT",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272842464",
"telephone_number": "336-402-2483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "963 KIRKPATRICK RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272158911",
"telephone_number": "336-229-5905"
}
],
"practiceLocations": [
{
"address_1": "304 Myra Ct",
"address_purpose": "LOCATION",
"city": "Kernersville",
"state": "NC",
"postal_code": "272842464",
"country_code": "US",
"telephone_number": "336-402-2483",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDGETTE",
"first_name": "MICHAEL",
"credential": "LCMHC-A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-29",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A21314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NC
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- Tracy Michelle Edwards, DDS
- Daniel Martin Efird, LCSWA
- Pamela J Eldridge, CRNA
- Elizabeth G. Hodge, MSP, CCC-SLP, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.