Active NPI
Michel Antonia Thiel, LMHC-D
- Mental Health Counselor
- West Babylon, NY
National Provider Identifier
1366111981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 011204-01
- Practice address
- 12 Grace Marie CT
West Babylon, NY 11704-8315 - Phone
- (516) 658-7330
- NPI assigned
- Sep 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 011204-01 | NY | Primary |
Addresses
Primary practice location
12 Grace Marie CT
West Babylon, NY 11704-8315
Mailing address
12 Grace Marie CT
West Babylon, NY 11704-8315
Phone (516) 658-7330
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 |
|---|---|---|---|
| 011204-01 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1366111981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 GRACE MARIE CT",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117048315",
"telephone_number": "516-658-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 GRACE MARIE CT",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117048315",
"telephone_number": "516-658-7330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIEL",
"first_name": "MICHEL",
"middle_name": "ANTONIA",
"credential": "LMHC-D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-08",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "011204-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.