Individual provider Active NPI

Michelle Mitchell

  • Marriage & Family Therapist
  • Visalia, CA
National Provider Identifier
1265094114
Registry record updated May 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
122073 Issued in CA
Practice address
3713 W Howard Ave
Visalia, CA 93277-4027
Phone
(559) 635-4780
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 122073 CA Primary

Addresses

Primary practice location

3713 W Howard Ave
Visalia, CA 93277-4027

Mailing address

1124 N Chinowth St Ste 101
Visalia, CA 93291-7896

Other practice location 1

3424 W Packwood Ave
Visalia, CA 93277-5000
Phone (559) 635-4780

Other practice location 2

1840 S Central St
Visalia, CA 93277-4418
Phone (559) 471-4050

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
122073CAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Success in Recovery CurrentSince Jan 1, 2023 Accepting new patients
Success in Recovery Past Accepting new patients
Courage to Change, Inc. PastSince Nov 1, 2020 Accepting new patients

Organizations & group practices 3

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685145600000",
    "number": "1265094114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 N CHINOWTH ST STE 101",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932917896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 W HOWARD AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774027",
            "telephone_number": "559-635-4780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3424 W Packwood Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932775000",
            "country_code": "US",
            "telephone_number": "559-635-4780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 S Central St",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932774418",
            "country_code": "US",
            "telephone_number": "559-471-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2023-05-27",
        "certification_date": "2023-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "122073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2023; 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.