Active NPI
Michelle Costigan, CPC, LCADC, ATR
- Mental Health Counselor
- Henderson, NV
National Provider Identifier
1174933410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CP0165
- Practice address
- 2764 N Green Valley Pkwy Ste 503
Henderson, NV 89014-2120 - Phone
- (224) 730-1529
- NPI assigned
- May 7, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 00423-LC | NV | |
| Mental Health Counselor | 101YM0800X | 180.010324 | IL | |
| Mental Health Counselor | 101YM0800X | CP0165 | NV | Primary |
Addresses
Primary practice location
2764 N Green Valley Pkwy Ste 503
Henderson, NV 89014-2120
Mailing address
2764 N Green Valley Pkwy Ste 503
Henderson, NV 89014-2120
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 |
|---|---|---|---|
| 00423-LC | NV | MD | Addiction (Substance Use Disorder) Counselor |
| 180.010324 | IL | MD | Mental Health Counselor |
| CP0165 | NV | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500249600000",
"number": "1174933410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2764 N GREEN VALLEY PKWY STE 503",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890142120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2764 N GREEN VALLEY PKWY STE 503",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890142120",
"telephone_number": "224-730-1529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTIGAN",
"first_name": "MICHELLE",
"credential": "CPC, LCADC, ATR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-07",
"last_updated": "2017-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "00423-LC",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.010324",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "CP0165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.