Individual provider Active NPI

Michelle Hyatt, MA, LPCA

  • Mental Health Counselor
  • Rock Hill, SC
National Provider Identifier
1134628514
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6900 Issued in SC
Practice address
1539 Tiana Way
Rock Hill, SC 29732-7605
Phone
(803) 307-4647
NPI assigned
Feb 12, 2018
Last updated
Oct 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6900 SC
Mental Health Counselor 101YM0800X 6900 SC Primary
Professional Counselor 101YP2500X 6900 SC

Addresses

Primary practice location

1539 Tiana Way
Rock Hill, SC 29732-7605

Mailing address

1539 Tiana Way
Rock Hill, SC 29732-7605
Phone (803) 370-8852

Other identifiers 1

IdentifierTypeStateIssuer
1134628514MedicaidSC

Other names 1

  • Mrs. Michelle Hyatt Bahneman Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@michellehyatt.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6900SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hyatt Counselling, LLC Mental Health CurrentSince Jul 12, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1134628514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 TIANA WAY",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297327605",
            "telephone_number": "803-370-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 TIANA WAY",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297327605",
            "telephone_number": "803-307-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYATT",
        "first_name": "MICHELLE",
        "credential": "MA, LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "6900",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6900",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134628514",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@michellehyatt.com",
            "affiliation": "N",
            "address_1": "1539 Tiana Way",
            "city": "Rock Hill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297327605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BAHNEMAN",
            "middle_name": "HYATT",
            "prefix": "MRS.",
            "credential": "MA, LPCA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.