Active NPI
Michael Lee, PH.D.
- Counseling Psychologist
- Pell City, AL
National Provider Identifier
1366065054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Practice address
- 60 Sumter Way
Pell City, AL 35128-7738 - Phone
- (210) 818-6160
- NPI assigned
- May 28, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178.016452 | IL | |
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
60 Sumter Way
Pell City, AL 35128-7738
Mailing address
60 Sumter Way
Pell City, AL 35128-7738
Phone (210) 818-6160
Other practice location 1
88 S Main St Ste 2
Glen Carbon, IL 62034-1415
Phone (618) 288-8085
Other practice location 2
307 Henry St Ste 100
Alton, IL 62002-6326
Phone (618) 288-8085
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37-1303427003 | Medicaid | IL | |
| 37-1303427005 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michaellee8327_kwv@indeedemail.com | ||
| Direct Messaging Address | michaellee8327_kwv@indeedemail.com |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.016452 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L&M Health | Current | Accepting new patients | |
| Alternatives Counseling, Inc. | Past | Accepting new patients | |
| Alternatives Counseling, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- O Fallon, IL
- NPI 1265134787
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Alton, IL
- NPI 1689029431
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Alton, IL
- NPI 1912369364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1366065054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 SUMTER WAY",
"city": "PELL CITY",
"state": "AL",
"postal_code": "351287738",
"telephone_number": "210-818-6160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 SUMTER WAY",
"city": "PELL CITY",
"state": "AL",
"postal_code": "351287738",
"telephone_number": "210-818-6160"
}
],
"practiceLocations": [
{
"address_1": "88 S Main St Ste 2",
"address_purpose": "LOCATION",
"city": "Glen Carbon",
"state": "IL",
"postal_code": "620341415",
"country_code": "US",
"telephone_number": "618-288-8085",
"fax_number": "618-288-8959",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "307 Henry St Ste 100",
"address_purpose": "LOCATION",
"city": "Alton",
"state": "IL",
"postal_code": "620026326",
"country_code": "US",
"telephone_number": "618-288-8085",
"fax_number": "618-288-8959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-28",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178.016452",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37-1303427003",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37-1303427005",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michaellee8327_kwv@indeedemail.com",
"affiliation": "N",
"address_1": "88 S Main St Ste 2",
"city": "Glen Carbon",
"state": "IL",
"country_code": "US",
"postal_code": "620341415",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michaellee8327_kwv@indeedemail.com",
"affiliation": "N",
"address_1": "307 Henry St Ste 100",
"city": "Alton",
"state": "IL",
"country_code": "US",
"postal_code": "620026326",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pell City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.