Individual provider Active NPI

Michelle Lee Fuentes, ATR-BC, LCAT

  • Art Therapist
  • Austin, TX
National Provider Identifier
1164327847
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
00248 Issued in NY
Practice address
11402 Joy St
Austin, TX 78748-2752
Phone
(845) 238-0307
NPI assigned
Oct 12, 2026
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 00248 NY Primary

Addresses

Primary practice location

11402 Joy St
Austin, TX 78748-2752

Mailing address

11402 Joy St
Austin, TX 78748-2752
Phone (512) 577-7483

Other practice location 1

8700 Menchaca Rd
Austin, TX 78748-5371
Phone (512) 577-7483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1164327847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11402 JOY ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787482752",
            "telephone_number": "512-577-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11402 JOY ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787482752",
            "telephone_number": "845-238-0307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 Menchaca Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787485371",
            "country_code": "US",
            "telephone_number": "512-577-7483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "ATR-BC, LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "00248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.