Individual provider Active NPI

Michelle A. Harvey, M.S.

  • Professional Counselor
  • Hot Springs, AR
National Provider Identifier
1194960740
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11-03EI Issued in AR
Practice address
4328 Central Ave Ste M
Hot Springs, AR 71913-5907
Phone
(017) 014-3485
NPI assigned
Dec 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11-03EI AR Primary

Addresses

Primary practice location

4328 Central Ave Ste M
Hot Springs, AR 71913-5907

Mailing address

1321 Interstate 30
104
Little Rock, AR 72209
Phone (501) 529-0705

Other identifiers 1

IdentifierTypeStateIssuer
252107719MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL fusionwebclinic.com Direct

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11-03EIARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Therapy LLC CurrentSince Nov 8, 2020 Accepting new patients

Locations

4328 Central Ave
Ste M
Hot Springs National Park, AR 71913
Phone (501) 358-6535

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1194960740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 INTERSTATE 30",
            "address_2": "104",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72209",
            "telephone_number": "501-529-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4328 CENTRAL AVE STE M",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719135907",
            "telephone_number": "017-014-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "MICHELLE",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "11-03EI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252107719",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fusionwebclinic.com",
            "affiliation": "N",
            "endpointDescription": "Fusion",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4328 Central Ave Ste M",
            "city": "Hot Springs",
            "state": "AR",
            "country_code": "US",
            "postal_code": "719135907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.