Active NPI
Michelle Maria Kitchen, PHD, NCC, LPC
- Professional Counselor
- Lexington, SC
National Provider Identifier
1326419755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6521
- Practice address
- 201 W Main St Ste D2
Lexington, SC 29072-2665 - Phone
- (843) 991-7409
- NPI assigned
- Oct 12, 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6521 | SC | Primary |
Addresses
Primary practice location
201 W Main St Ste D2
Lexington, SC 29072-2665
Mailing address
PO Box 433
Lexington, SC 29071-0433
Phone (843) 991-7409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6521 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Professional | Current | Accepting new patients |
Locations
170 Meeting St
Charleston, SC 29401
Phone (843) 983-8320
170 Meeting St
Fl 13
Charleston, SC 29401
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1326419755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 433",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290710433",
"telephone_number": "843-991-7409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W MAIN ST STE D2",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290722665",
"telephone_number": "843-991-7409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITCHEN",
"first_name": "MICHELLE",
"middle_name": "MARIA",
"credential": "PHD, NCC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-12",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.