Individual provider Active NPI

Michael Thomas Venezia, LPC

  • Mental Health Counselor
  • Huntsville, AL
National Provider Identifier
1053721431
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4800 Whitesport Cir SW
Suite 2
Huntsville, AL 35801-6428
Phone
(256) 533-9393
Fax
(256) 533-9690
NPI assigned
May 6, 2014
Last updated
Jan 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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 Primary

Addresses

Primary practice location

4800 Whitesport Cir SW
Suite 2
Huntsville, AL 35801-6428

Mailing address

4800 Whitesport Cir SW
Suite 2
Huntsville, AL 35801-6428
Phone (256) 533-9393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit's Edge Counseling & Personal Development Mental Health Past Accepting new patients

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": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1053721431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 WHITESPORT CIR SW",
            "address_2": "SUITE 2",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016428",
            "telephone_number": "256-533-9393",
            "fax_number": "256-533-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 WHITESPORT CIR SW",
            "address_2": "SUITE 2",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016428",
            "telephone_number": "256-533-9393",
            "fax_number": "256-533-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENEZIA",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-06",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.