Active NPI
Micah Harrell, M.S
- School Counselor
- Orlando, FL
National Provider Identifier
1073908489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 711488
- Practice address
- 750 S Obt TRL
Orlando, FL 32805-3118 - Phone
- (407) 872-0111
- Fax
- (800) 675-4619
- NPI assigned
- Apr 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 711488 | FL | Primary |
Addresses
Primary practice location
750 S Obt TRL
Orlando, FL 32805-3118
Mailing address
6521 SW 63Rd Ave
South Miami, FL 33143-3320
Phone (305) 934-6532
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 711488 | FL | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427932800000",
"number": "1073908489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6521 SW 63RD AVE",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331433320",
"telephone_number": "305-934-6532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 S OBT TRL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328053118",
"telephone_number": "407-872-0111",
"fax_number": "800-675-4619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRELL",
"first_name": "MICAH",
"credential": "M.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-02",
"last_updated": "2015-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "FL",
"license": "711488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.