Individual provider Active NPI

Michaele Lynn Worrix, LPC, ATR

  • Mental Health Counselor
  • Fuquay Varina, NC
National Provider Identifier
1205978061
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5252 Issued in NC
Practice address
1000 N Main St
Suite 202
Fuquay Varina, NC 27526-2056
Phone
(919) 285-4963
Fax
(919) 285-4964
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5252 NC Primary

Addresses

Primary practice location

1000 N Main St
Suite 202
Fuquay Varina, NC 27526-2056

Mailing address

1000 N Main St
Suite 202
Fuquay Varina, NC 27526-2056
Phone (919) 818-4630

Other identifiers 2

IdentifierTypeStateIssuer
148NGOtherNCBLUE CROSS BLUE SHIELD
6103345MedicaidNC

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

LicenseStateTypeSpecialty
5252NCMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1205978061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N MAIN ST",
            "address_2": "SUITE 202",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262056",
            "telephone_number": "919-818-4630",
            "fax_number": "919-285-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N MAIN ST",
            "address_2": "SUITE 202",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262056",
            "telephone_number": "919-285-4963",
            "fax_number": "919-285-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORRIX",
        "first_name": "MICHAELE",
        "middle_name": "LYNN",
        "credential": "LPC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "5252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "148NG",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103345",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.