Michelle S Hertter, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

801 Road to Six Flags W
Arlington, TX 76012-2616

Phone

(817) 795-3030

Fax

(817) 795-3099

NPI assigned

Nov 7, 2017

Last updated

Mar 17, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phoenix Associates Counseling Services Inc

  dba Ascendus Behavioral Health

  • Community/Behavioral Health Agency
  • Dallas, TX
  • NPI 1285079517
  NPD (past)
• Phoenix Associates Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Fort Worth, TX
  • NPI 1982836250
  NPD (past)

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275046682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001A W 5TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072206",
            "telephone_number": "817-338-0311",
            "fax_number": "817-332-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ROAD TO SIX FLAGS W",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122616",
            "telephone_number": "817-795-3030",
            "fax_number": "817-795-3099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3884 S Shiloh Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750414729",
            "country_code": "US",
            "telephone_number": "972-278-7427",
            "fax_number": "972-278-7478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERTTER",
        "first_name": "MICHELLE",
        "middle_name": "S",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPT OF STATE HEALTH SERVICES",
            "identifier": "12420",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivon Herrera, LPC, NCC
• Melissa Herrera, OT
• Selina Herrera
• Maeanne E Herring, RBT
• Janelle Herron
• Katrina Herzik, M.S. CCC-SLP
• Hesley and Associates
• Jan Gail Hesley, LCSW
• John W Hesley, PH.D.
• Halee Nicole Hester

• Addiction (Substance Use Disorder) Counselor in Arlington, TX
• Providers in Arlington, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.