Individual provider Active NPI

Michael James Vannoy, MA

  • Mental Health Counselor
  • Boone, NC
National Provider Identifier
1053667725
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9546 Issued in NC
Practice address
789 Poplar Grove Rd S
Boone, NC 28607-9885
Phone
(828) 773-3402
Fax
(866) 567-1976
NPI assigned
Jul 31, 2012
Last updated
Nov 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 9546 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 2086 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 3037 NC
Mental Health Counselor 101YM0800X A9546 NC
Mental Health Counselor 101YM0800X 9546 NC Primary
Professional Counselor 101YP2500X A9546 NC
Professional Counselor 101YP2500X 291214 NC

Addresses

Primary practice location

789 Poplar Grove Rd S
Boone, NC 28607-9885

Mailing address

789 Poplar Grove Rd S
Boone, NC 28607-9885
Phone (828) 773-3402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250924004833 NC Practitioner - Mental Health Counselor 8022513647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

132 Whispering Hills LN
Chesnee, SC 29323-7915

789 Poplar Grove Rd S
Boone, NC 28607-9885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3037NCMDAddiction (Substance Use Disorder) Counselor
291214NCMDProfessional Counselor
A9546NCMDProfessional Counselor
9546NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Vannoy Counseling Services, PLLC Addiction (Substance Use Disorder) CurrentSince Aug 1, 2025 Accepting new patients

Locations

938B W King St
Boone, NC 28607
Phone (828) 773-4088

Organizations & group practices 1

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": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1053667725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 POPLAR GROVE RD S",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286079885",
            "telephone_number": "828-773-3402",
            "fax_number": "866-967-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 POPLAR GROVE RD S",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286079885",
            "telephone_number": "828-773-3402",
            "fax_number": "866-567-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNOY",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "9546",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2086",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3037",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A9546",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9546",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A9546",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "291214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.