Individual provider Active NPI

Michelle-Lisa Weller Voegtle, L.P.C.

  • Professional Counselor
  • Saint Helena Island, SC
National Provider Identifier
1104025378
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
001591 Issued in CT
Practice address
1509 Gleasons Landing CT
Saint Helena Island, SC 29920-3816
Phone
(860) 309-1013
NPI assigned
Jul 17, 2007
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 001591 CT Primary

Addresses

Primary practice location

1509 Gleasons Landing CT
Saint Helena Island, SC 29920-3816

Mailing address

2 Westridge Drive
Simsbury, CT 06070
Phone (860) 309-1013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250411002048 CT Practitioner - Mental Health Counselor 2163946088 Reassigns benefits to 1 organization
I20250412000130 SC Practitioner - Mental Health Counselor 2163946088 Reassigns benefits to 1 organization
Practice locations: Saint Helena Island, SC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7966SCMDOccupational Therapist
1591CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Mar 11, 2025 Accepting new patients
MV Navigation Professional Past Accepting new patients

Locations

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1104025378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WESTRIDGE DRIVE",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "06070",
            "telephone_number": "860-309-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 GLEASONS LANDING CT",
            "city": "SAINT HELENA ISLAND",
            "state": "SC",
            "postal_code": "299203816",
            "telephone_number": "860-309-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOEGTLE",
        "first_name": "MICHELLE-LISA",
        "middle_name": "WELLER",
        "name_prefix": "Ms.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helena Island, SC

Sources for this page

Verify at the official NPI Registry.