Individual provider Active NPI

G. Michael Pilcher, PHD, LMHC

  • Mental Health Counselor
  • Ormond Beach, FL
National Provider Identifier
1063409571
Registry record updated Sep 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18198 Issued in FL
Practice address
555 W Granada Blvd Ste G3
Ormond Beach, FL 32174-9407
Phone
(386) 227-6404
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1141 TN
Professional Counselor 101YP2500X 3137 TN
Professional Counselor 101YP2500X 0701008797 VA
Mental Health Counselor 101YM0800X 18198 FL Primary

Addresses

Primary practice location

555 W Granada Blvd Ste G3
Ormond Beach, FL 32174-9407

Mailing address

555 W Granada Blvd Ste G3
Ormond Beach, FL 32174-9407
Phone (386) 227-6404

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
18198FLMDMental Health Counselor
0701008797VAMDProfessional Counselor
3137TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
G. Michael Pilcher, Inc. Addiction (Substance Use Disorder) CurrentSince Oct 1, 2021 Accepting new patients

Locations

1362 N US Highway 1
Ste 301
Ormond Beach, FL 32174
Phone (386) 871-9632

555 W Granada Blvd
Ste G3
Ormond Beach, FL 32174
Phone (386) 227-6404

27 6th St
Bristol, TN 37620
Phone (423) 573-6836

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662854400000",
    "number": "1063409571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W GRANADA BLVD STE G3",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749407",
            "telephone_number": "386-227-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W GRANADA BLVD STE G3",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749407",
            "telephone_number": "386-227-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILCHER",
        "first_name": "G. MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHD, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2022-09-11",
        "certification_date": "2022-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "1141",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3137",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008797",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "18198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2022; 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.