Active NPI
Michael Gisser, MFT
- Mental Health Counselor
- Cary, NC
National Provider Identifier
1104391192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1140 Kildaire Farm Rd
Ste 206
Cary, NC 27511-4597 - Phone
- (336) 825-5433
- NPI assigned
- Oct 5, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1140 Kildaire Farm Rd
Ste 206
Cary, NC 27511-4597
Mailing address
442 Granite Mill Blvd
Chapel Hill, NC 27516-4569
Phone (336) 825-5433
Other practice location 1
152 Capcom Ave Ste 100
Wake Forest, NC 27587-6586
Phone (919) 590-5858
Other practice location 2
1140 Kildaire Farm Rd
Ste 206
Cary, NC 27511-4597
Phone (336) 825-5433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 8, 2024 through May 8, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2216 | NC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mig Counseling PC | Current | 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.
-
- Community/Behavioral Health Agency
- Pittsboro, NC
- NPI 1811565377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1104391192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "442 GRANITE MILL BLVD",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275164569",
"telephone_number": "336-825-5433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 KILDAIRE FARM RD",
"address_2": "STE 206",
"city": "CARY",
"state": "NC",
"postal_code": "275114597",
"telephone_number": "336-825-5433"
}
],
"practiceLocations": [
{
"address_1": "152 Capcom Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Wake Forest",
"state": "NC",
"postal_code": "275876586",
"country_code": "US",
"telephone_number": "919-590-5858",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1140 KILDAIRE FARM RD",
"address_2": "STE 206",
"address_purpose": "LOCATION",
"city": "CARY",
"state": "NC",
"postal_code": "275114597",
"country_code": "US",
"telephone_number": "336-825-5433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GISSER",
"first_name": "MICHAEL",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-05",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.