Michael Bruce Herrell

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ADT2483 Issued in MD

Practice address

12134 Walnut Point Rd
Hagerstown, MD 21740-2316

Phone

(410) 892-4033

NPI assigned

Apr 18, 2022

Last updated

Apr 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1275276289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12134 WALNUT POINT RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217402316",
            "telephone_number": "410-892-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12134 WALNUT POINT RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217402316",
            "telephone_number": "410-892-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRELL",
        "first_name": "MICHAEL",
        "middle_name": "BRUCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "ADT2483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Padmini D Herath, M.D.
• Makayla Herman, LMSW
• Tabatha Hernandez, LMSW
• Kristine L Herold
• Kimberly Herrell
• Aryeh L Herrera, M.D., F.A.C.S.
• Sarah Hershberger
• Kerri L Hesley, M.D.
• Amber Dawn Hickerson
• Heather Ann Hickok, LCSW-C

• Addiction (Substance Use Disorder) Counselor in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.