Individual provider Active NPI

Michael Trexler, PH.D., LMHC, NCC

  • Professional Counselor
  • Indianapolis, IN
National Provider Identifier
1316491848
Registry record updated Nov 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
39003187A Issued in IN
Practice address
9622 Winsome CT
Indianapolis, IN 46256-8108
Phone
(317) 426-7321
NPI assigned
Aug 13, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701006491 VA
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 39003187A IN Primary

Addresses

Primary practice location

9622 Winsome CT
Indianapolis, IN 46256-8108

Mailing address

9622 Winsome CT
Indianapolis, IN 46256-8108
Phone (317) 426-7321

Other practice location 1

5374 Lawyers Rd
Evington, VA 24550-4325
Phone (434) 221-3760

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherINNONE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL None

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 25, 2024 through Sep 25, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
39003187AINMDProfessional Counselor
0701006491VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Counseling Services LLC Professional PastSince Dec 6, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1471046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606521600000",
    "number": "1316491848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9622 WINSOME CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462568108",
            "telephone_number": "317-426-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9622 WINSOME CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462568108",
            "telephone_number": "317-426-7321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5374 Lawyers Rd",
            "address_purpose": "LOCATION",
            "city": "Evington",
            "state": "VA",
            "postal_code": "245504325",
            "country_code": "US",
            "telephone_number": "434-221-3760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREXLER",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-13",
        "last_updated": "2020-11-28",
        "certification_date": "2020-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006491",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IN",
            "license": "39003187A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "None",
            "affiliation": "N",
            "address_1": "9622 Winsome Ct",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462568108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.