Michelle Meadows, LPC, CPRP

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC007892 Issued in GA

Practice address

11 N College St
Statesboro, GA 30458-5306

Phone

(912) 764-9868

Fax

(912) 764-5066

NPI assigned

Dec 23, 2014

Last updated

Dec 23, 2014By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Pineland Area Community Services Board

  dba Pineland BHDD CSB

  • Community/Behavioral Health Agency
  • Statesboro, GA
  • NPI 1588735252
  NPD (past)
• Pineland Mental Health,Mental Retardation & Substance Abuse Services

  • Adult Mental Health Clinic/Center
  • Statesboro, GA
  • NPI 1780859439
  NPD (past)

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1275921496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13758 HWY 169",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "304277202",
            "telephone_number": "912-764-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N COLLEGE ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585306",
            "telephone_number": "912-764-9868",
            "fax_number": "912-764-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "MICHELLE",
        "credential": "LPC, CPRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC007892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James A McQuown Jr., MD
• Me Pivot Holdings LLC (Miracle-Ear Center)
• Me Pivot Holdings, LLC
• Meadows DME, LLC
• Meadows Healthcare Alliance, Inc. (Alliance Home Medical)
• Medical Center Pharmacy of Statesboro, Inc (Medical Center Pharmacy)
• Medical Diagnostics of Statesboro LLC
• Medical Health Group LLC
• Merian Mendoza, OTR/L
• Kathryn Ward Mentzer, D.M.D.

• Counselor in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.