Individual provider Active NPI

Michelle Guy, LPC, NCC

  • Professional Counselor
  • Madison, MS
National Provider Identifier
1134580020
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1902 Issued in MS
Practice address
940 Ebenezer Blvd Ste 210
Madison, MS 39110-6002
Phone
(601) 790-0583
NPI assigned
Mar 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 1902 MS
Professional Counselor 101YP2500X 1902 MS Primary

Addresses

Primary practice location

940 Ebenezer Blvd Ste 210
Madison, MS 39110-6002

Mailing address

7 Santa Clara CT
Madison, MS 39110-9127
Phone (601) 454-1394

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Admin@lifeworks.ms Direct Lifeworks Counseling

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

LicenseStateTypeSpecialty
1902MSMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: admin@lifeworks.ms

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1134580020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SANTA CLARA CT",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109127",
            "telephone_number": "601-454-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 EBENEZER BLVD STE 210",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106002",
            "telephone_number": "601-790-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUY",
        "first_name": "MICHELLE",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "1902",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Admin@lifeworks.ms",
            "affiliation": "Y",
            "affiliationName": "Lifeworks Counseling",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "940 Ebenezer Blvd Ste 210",
            "city": "Madison",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391106002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.