Active NPI
Scott R Michaels, LMFT
- Marriage & Family Therapist
- Raleigh, NC
National Provider Identifier
1114273703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1584
- Practice address
- 3170 Exacta LN Apt 516
Raleigh, NC 27613 - Phone
- (919) 576-0350
- NPI assigned
- Aug 1, 2012
- Last updated
- May 21, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1584 | NC | Primary |
Addresses
Primary practice location
3170 Exacta LN Apt 516
Raleigh, NC 27613
Mailing address
3170 Exacta LN Apt 516
Raleigh, NC 27613-8968
Phone (919) 576-0350
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1584 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| To the Ends of the Earth Ministries, Inc. | Marriage & Family Therapist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Raleigh, NC
- NPI 1780096172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400630400000",
"number": "1114273703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3170 EXACTA LN APT 516",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276138968",
"telephone_number": "919-576-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3170 EXACTA LN APT 516",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27613",
"telephone_number": "919-576-0350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAELS",
"first_name": "SCOTT",
"middle_name": "R",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-01",
"last_updated": "2014-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- Michael R. March, M.D., P.a.
- Michael T Jones DMD PA (Triangle Dental Ctr)
- Christine Marie Michaels, LMBT
- Jaime Havah Eliana Michaels, DNP, MSN, PMHNP-BC
- Jordan Michaels, BSN, RN, ONC
- Julie Beth Howell Michaelsen
- Ellen Marie Michal, RD
- Kenneth Joe Michau II, MD
- Brent Michel, LCMHC
- David Pierre Abraham Michel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.