Active NPI
Michelle McGinn
- Mental Health Counselor
- Sacaton, AZ
National Provider Identifier
1316367683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0157171
- Practice address
- 198 S. Skill Center Road
Sacaton, AZ 85147 - Phone
- (520) 562-4239
- Fax
- (520) 562-3417
- NPI assigned
- Apr 24, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0113521 | NM | |
| Mental Health Counselor | 101YM0800X | 0157171 | NM | Primary |
Addresses
Primary practice location
198 S. Skill Center Road
Sacaton, AZ 85147
Mailing address
198 S. Skill Center Road
Sacaton, AZ 85147
Phone (520) 562-4239
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 |
|---|---|---|---|
| 0113521 | NM | MD | Addiction (Substance Use Disorder) Counselor |
| 0157171 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398297600000",
"number": "1316367683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 S. SKILL CENTER ROAD",
"city": "SACATON",
"state": "AZ",
"postal_code": "85147",
"telephone_number": "520-562-4239",
"fax_number": "520-562-3417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 S. SKILL CENTER ROAD",
"city": "SACATON",
"state": "AZ",
"postal_code": "85147",
"telephone_number": "520-562-4239",
"fax_number": "520-562-3417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGINN",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-24",
"last_updated": "2014-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "0113521",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0157171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacaton, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.