Individual provider Active NPI

Michael Lee, PH.D.

  • Counseling Psychologist
  • Pell City, AL
National Provider Identifier
1366065054
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
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

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
37-1303427003MedicaidIL
37-1303427005MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
178.016452ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.