Mary Carolyn Michot, LPC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

93885 Issued in TX

Practice address

3317 McKinney Ave Ste 201
Dallas, TX 75204-2347

Phone

(337) 412-8719

NPI assigned

Jan 15, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• McCally Michot Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1073384483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 ELYSIAN FIELDS DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086658",
            "telephone_number": "337-412-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 MCKINNEY AVE STE 201",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042347",
            "telephone_number": "337-412-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHOT",
        "first_name": "MARY",
        "middle_name": "CAROLYN",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "93885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MCCALLY",
            "last_name": "MICHOT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Phyllis Michie, MSP CCC SLP
• Michigan Anesthesia Care One PC
• Michigan Anesthesia Care One, PC
• Damaris Michoma, PMHNP
• Michon Hawkins, D.C. Inc.
• Christopher J Miciotto, MD
• Townes Alston Mickel
• Simone Renee Mickens, BST
• Bruce Edward Mickey, MD
• Jessica Mickus, PA-C

• Mental Health Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.