Individual provider Active NPI

Michelle Stiles, LMHC

  • Mental Health Counselor
  • Liverpool, NY
National Provider Identifier
1073079323
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009264 Issued in NY
Practice address
901 Buckley Rd
Liverpool, NY 13088-6501
Phone
(315) 238-4173
NPI assigned
Feb 12, 2019
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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 0433649 NY
Mental Health Counselor 101YM0800X 009264 NY Primary

Addresses

Primary practice location

901 Buckley Rd
Liverpool, NY 13088-6501

Mailing address

901 Buckley Rd
Liverpool, NY 13088-6501
Phone (315) 238-4173

Other practice location 1

635 James St
Syracuse, NY 13203
Phone (315) 671-2964

Other practice location 2

1607 S Geddes St
Syracuse, NY 13207-1222
Phone (315) 435-4520

Other practice location 3

741 Park Ave
Syracuse, NY 13204-2254
Phone (315) 435-4029

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
0433649NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Stiles LMHC PLLC Mental Health CurrentSince Jan 29, 2023 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, 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": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1073079323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BUCKLEY RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886501",
            "telephone_number": "315-238-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BUCKLEY RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886501",
            "telephone_number": "315-238-4173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635 James St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "13203",
            "country_code": "US",
            "telephone_number": "315-671-2964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1607 S Geddes St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132071222",
            "country_code": "US",
            "telephone_number": "315-435-4520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "741 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132042254",
            "country_code": "US",
            "telephone_number": "315-435-4029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILES",
        "first_name": "MICHELLE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "0433649",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.