Active NPI
Michele R Frey, PH.D., LPC, LPC-S
- Professional Counselor
- Dallas, GA
National Provider Identifier
1285887794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC0003697
- Practice address
- 237 LM Wigley Rd
Dallas, GA 30132-1073 - Phone
- (770) 445-1697
- NPI assigned
- Oct 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC0003697 | GA | Primary |
Addresses
Primary practice location
237 LM Wigley Rd
Dallas, GA 30132-1073
Mailing address
237 LM Wigley Rd
Dallas, GA 30132-1073
Phone (770) 445-1697
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC0003697 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1285887794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 LM WIGLEY RD",
"city": "DALLAS",
"state": "GA",
"postal_code": "301321073",
"telephone_number": "770-445-1697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 LM WIGLEY RD",
"city": "DALLAS",
"state": "GA",
"postal_code": "301321073",
"telephone_number": "770-445-1697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREY",
"first_name": "MICHELE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PH.D., LPC, LPC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-28",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC0003697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.