Active NPI
Michele Prince, MSW
- Marriage & Family Therapist
- Spring Grove, PA
National Provider Identifier
1164538682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- SW007665L
- Practice address
- 118 S Main St
1St Floor
Spring Grove, PA 17362 - Phone
- (717) 225-8900
- NPI assigned
- Aug 21, 2006
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | SW007665L | PA | Primary |
Addresses
Primary practice location
118 S Main St
1St Floor
Spring Grove, PA 17362
Mailing address
118 S Main St
1St Floor
Spring Grove, PA 17362
Phone (717) 225-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03103801 | Other | PA | CAPITAL BLUE CROSS PIN # |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW007665L | PA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164538682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 S MAIN ST",
"address_2": "1ST FLOOR",
"city": "SPRING GROVE",
"state": "PA",
"postal_code": "17362",
"telephone_number": "717-225-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 S MAIN ST",
"address_2": "1ST FLOOR",
"city": "SPRING GROVE",
"state": "PA",
"postal_code": "17362",
"telephone_number": "717-225-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "MICHELE",
"name_prefix": "Miss",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "SW007665L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS PIN #",
"identifier": "03103801",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.