Michaela Fay Wyse

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18275 Issued in NC

Practice address

1428 Ellen St Ste B
Monroe, NC 28112-5286

Phone

(704) 438-9901

NPI assigned

Dec 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Thrive Counseling Services, PLLC

  • Community/Behavioral Health Agency
  • Monroe, NC
  • NPI 1477961506
  NPD

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1114639929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13663 PROVIDENCE RD # 355",
            "city": "WEDDINGTON",
            "state": "NC",
            "postal_code": "281049373",
            "telephone_number": "704-438-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 ELLEN ST STE B",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125286",
            "telephone_number": "704-438-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSE",
        "first_name": "MICHAELA",
        "middle_name": "FAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanya Wright, OTR/L
• Kathy Wright
• Tony M Wright, MD
• Corinne L Wulf Wood, FNP
• Charleta Chavette Wylie, LCSW
• Lori Michelle Yanchik, MD
• Aaron Kyle Yearwood, LCSW, LISW-CP
• Diane Yee, M.S. , N.C.C.,
• Kelly Leigh Young
• Marla G Young, CRNA

• Mental Health Counselor in Monroe, NC
• Providers in Monroe, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.