Tabitha McMichael, MA, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178012028 Issued in IL

Practice address

12 W Harrison St
Sullivan, IL 61951-1907

Phone

(217) 728-4358

Fax

(217) 728-2270

NPI assigned

May 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/hrcec/r4/

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.

• Human Resources Center of Edgar and Clark Counties

  • Community/Behavioral Health Agency
  • Marshall, IL
  • NPI 1023678521
  NPD
• Human Resources Center of Edgar and Clark Counties

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Paris, IL
  • NPI 1790942761
  NPD
• Moultrie County Mental Health Center

  • Community/Behavioral Health Agency
  • Sullivan, IL
  • NPI 1811025240

  Professional

  NPD (past)

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1225564792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W HARRISON ST",
            "city": "SULLIVAN",
            "state": "IL",
            "postal_code": "619511907",
            "telephone_number": "217-728-4358",
            "fax_number": "217-728-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W HARRISON ST",
            "city": "SULLIVAN",
            "state": "IL",
            "postal_code": "619511907",
            "telephone_number": "217-728-4358",
            "fax_number": "217-728-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMICHAEL",
        "first_name": "TABITHA",
        "name_prefix": "Ms.",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178012028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Sue Lawyer, LPN/MHP
• Lindsey Lefever, PTA
• Danielle Linder
• Madeli Therapy LLC
• Alexa Matthies
• Medical Income Management Corp
• Macie Anna Miller
• Natalie Mitchem, BS
• Audrey Mosier, BS, MHP
• Moultrie Co

• All providers in Sullivan, IL
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.