Individual provider Active NPI

Michaela M Uttley, M.S.; LPC

  • Mental Health Counselor
  • Douglassville, PA
National Provider Identifier
1053975540
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC012879 Issued in PA
Practice address
700 Russell Ave
Douglassville, PA 19518-1207
Phone
(484) 876-1354
NPI assigned
Apr 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC012879 PA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

700 Russell Ave
Douglassville, PA 19518-1207

Mailing address

700 Russell Ave
Douglassville, PA 19518-1207
Phone (484) 876-1354

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

LicenseStateTypeSpecialty
PC012879PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Hearted Healing CurrentSince May 17, 2026 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1053975540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 RUSSELL AVE",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195181207",
            "telephone_number": "484-876-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 RUSSELL AVE",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195181207",
            "telephone_number": "484-876-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTTLEY",
        "first_name": "MICHAELA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "M.S.; LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC012879",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglassville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.