Active NPI
Michelle (Shelley) A Lynch, PHD, LMHC
- Mental Health Counselor
- Maitland, FL
National Provider Identifier
1104098417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH4585
- Practice address
- 341 N Maitland Ave
Suite 270
Maitland, FL 32751-4783 - Phone
- (407) 647-5448
- NPI assigned
- Mar 26, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH4585 | FL | Primary |
Addresses
Primary practice location
341 N Maitland Ave
Suite 270
Maitland, FL 32751-4783
Mailing address
341 N Maitland Ave
Suite 270
Maitland, FL 32751-4783
Phone (407) 647-5448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH4585 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206489600000",
"number": "1104098417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 N MAITLAND AVE",
"address_2": "SUITE 270",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514783",
"telephone_number": "407-647-5448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 N MAITLAND AVE",
"address_2": "SUITE 270",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514783",
"telephone_number": "407-647-5448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "MICHELLE (SHELLEY)",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHD, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-26",
"last_updated": "2008-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH4585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.