Individual provider Active NPI

Michele Marie Neuhaus, ATR-BC, LCAT

  • Mental Health Counselor
  • Elmhurst, NY
National Provider Identifier
1093087678
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009934 Issued in NY
Practice address
8114 Queens Blvd
Elmhurst, NY 11373-3789
Phone
(718) 577-5342
NPI assigned
Jan 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 000147 NY
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 009934 NY Primary

Addresses

Primary practice location

8114 Queens Blvd
Elmhurst, NY 11373-3789

Mailing address

3230 Bell Blvd
Bayside, NY 11361-1059
Phone (718) 631-7446

Other practice location 1

3230 Bell Blvd
Bayside, NY 11361-1059
Phone (718) 631-7446

Other practice location 2

150 W 56th St
New York, NY 10019-3822
Phone (212) 752-1316

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
009934NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brightline Medical Associates, PA Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1093087678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611059",
            "telephone_number": "718-631-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8114 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733789",
            "telephone_number": "718-577-5342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3230 Bell Blvd",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113611059",
            "country_code": "US",
            "telephone_number": "718-631-7446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 W 56th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100193822",
            "country_code": "US",
            "telephone_number": "212-752-1316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEUHAUS",
        "first_name": "MICHELE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "ATR-BC, LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "000147",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.