Michelle Jeannine Allen, LAPC, NCC
Individual provider Active NPI Professional Counselor · Cartersville, GA
NPI 1093966087 · NPPES record last updated Sep 1, 2012
Key facts
- NPI
- 1093966087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC006478 (GA)
- Practice address
- 911 N Tennessee St
Suite 204
Cartersville, GA 30120-8514 - Phone
- (770) 386-0776
- Fax
- (678) 279-9950
- NPI assigned
- Oct 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC002101 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current |
Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APC002101 | GA | |
| Professional Counselor | 101YP2500X | LPC006478 | GA | Yes |
Addresses
Primary practice location
911 N Tennessee St
Suite 204
Cartersville, GA 30120-8514
Mailing address
911 N Tennessee St
Suite 204
Cartersville, GA 30120-8514
Phone (770) 386-0776
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003122047A | Medicaid | GA |
Other providers in Cartersville, GA
- Allara Surgical Group
- Allatoona Emergency Group PC
- Allatoona Eye Institute PC
- Allatoona Physician Services PC
- Mandy Rees Allen
- Allied Health Partners LLC
- Suzanne Alsayed
- Amanda W. Conti, D.M.D, LLC
- Amedisys Georgia LLC
- Amedisys Hospice, LLC
All providers in Cartersville, GA · Professional Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.