Active NPI
Lisa Maire Michel
- Counselor
- Antioch, CA
National Provider Identifier
1295124972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1401 W 4TH St
Antioch, CA 94509-1024 - Phone
- (925) 778-3750
- NPI assigned
- Jan 17, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1401 W 4TH St
Antioch, CA 94509-1024
Mailing address
4710 Broomtail CT
Antioch, CA 94531-9305
Phone (916) 390-0242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A5439081 | Other | CA | KAISER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421452800000",
"number": "1295124972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4710 BROOMTAIL CT",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945319305",
"telephone_number": "916-390-0242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W 4TH ST",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945091024",
"telephone_number": "925-778-3750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHEL",
"first_name": "LISA",
"middle_name": "MAIRE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-17",
"last_updated": "2015-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "A5439081",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.