Active NPI
Michele Fesenbek, LPC
- Professional Counselor
- McKinney, TX
National Provider Identifier
1316310444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 70386
- Practice address
- 6675 Mediterranean Dr
McKinney, TX 75070-5573 - Phone
- (214) 923-4598
- NPI assigned
- Nov 11, 2015
- Last updated
- Nov 11, 2015
- 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 | 70386 | TX | Primary |
Addresses
Primary practice location
6675 Mediterranean Dr
McKinney, TX 75070-5573
Mailing address
4011 Black Oak Dr
Carrollton, TX 75007-1027
Phone (214) 923-4598
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70386 | Other | TX | LICENSED PROFESSIONAL COUNSELOR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70386 | TX | MD | Oncology Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renewed Spirits, LLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Renewed Spirits Counseling
- Professional Counselor
- McKinney, TX
- NPI 1750759262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447200000000",
"number": "1316310444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4011 BLACK OAK DR",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750071027",
"telephone_number": "214-923-4598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6675 MEDITERRANEAN DR",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750705573",
"telephone_number": "214-923-4598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FESENBEK",
"first_name": "MICHELE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-11",
"last_updated": "2015-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "70386",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "70386",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.