Active NPI
Michelle Christian, LMHC
- Mental Health Counselor
- Fredonia, NY
National Provider Identifier
1114374352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 006411
- Practice address
- 1 Park PL
Fredonia, NY 14063-1764 - Phone
- (716) 969-4130
- NPI assigned
- May 18, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 006411 | NY | Primary |
Addresses
Primary practice location
1 Park PL
Fredonia, NY 14063-1764
Mailing address
11 Parkway St.
Silver Creek, NY 14136
Other practice location 1
1079 Main Rd
Silver Creek, NY 14136
Phone (716) 969-4130
Other practice location 2
39 Main St
Silver Creek, NY 14136-1416
Phone (716) 969-4130
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shine Medical PC | Past | Accepting new patients |
Interoperability endpoints
- michelle.r.christian@upmcdirect.com
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.
-
- Psychiatry Physician
- New York, NY
- NPI 1427783950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1114374352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 PARKWAY ST.",
"city": "SILVER CREEK",
"state": "NY",
"postal_code": "14136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARK PL",
"city": "FREDONIA",
"state": "NY",
"postal_code": "140631764",
"telephone_number": "716-969-4130"
}
],
"practiceLocations": [
{
"address_1": "1079 Main Rd",
"address_purpose": "LOCATION",
"city": "Silver Creek",
"state": "NY",
"postal_code": "14136",
"country_code": "US",
"telephone_number": "716-969-4130",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "39 Main St",
"address_purpose": "LOCATION",
"city": "Silver Creek",
"state": "NY",
"postal_code": "141361416",
"country_code": "US",
"telephone_number": "716-969-4130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHRISTIAN",
"first_name": "MICHELLE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-18",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "006411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredonia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.