Michelle Renee Pass, LPC,LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1306054 Issued in AR

Practice address

420 N Main St
Greenwood, AR 72936

Phone

(479) 996-8884

NPI assigned

Oct 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Greenwood Public Schools

  • Local Education Agency (LEA)
  • Greenwood, AR
  • NPI 1902969876
  NPD (past)

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1073764320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11818",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171818",
            "telephone_number": "479-452-6650",
            "fax_number": "479-452-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N MAIN ST",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "72936",
            "telephone_number": "479-996-8884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4611 Rogers Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729033148",
            "country_code": "US",
            "telephone_number": "479-561-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3111 S 70th St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729035017",
            "country_code": "US",
            "telephone_number": "479-452-6650",
            "fax_number": "479-452-5847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13126 Dalmut Rd",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "AR",
            "postal_code": "729389056",
            "country_code": "US",
            "telephone_number": "479-651-5279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13126 Dalmut Rd",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "AR",
            "postal_code": "729389056",
            "country_code": "US",
            "telephone_number": "479-651-5279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASS",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "credential": "LPC,LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1007071",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "M1306007",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "A1008019",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1306054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole S. Taylor, O.D., PLLC
• Reesa Novak, PHARM.D.
• Whitney Palsa, MHPP
• Richard Earl Parks, R.PH.
• Shirley Parnell, RN, CCM, CLCP
• Pathways Mental Health LLC
• Paul a. Evans, DDS
• Pearson'S Speech Therapy
• Perspectives Behavioral Health Management, LLC
• Thomas Jeremy Priest

• Professional Counselor in Greenwood, AR
• Providers in Greenwood, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.