Active NPI
Michael J Valentine, PHD, LPC, BC-TMH
- Professional Counselor
- Starkville, MS
National Provider Identifier
1376378463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2721
- Practice address
- 1458 Rock Hill Rd
Starkville, MS 39759-8739 - Phone
- (662) 617-1781
- NPI assigned
- Sep 6, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2721 | MS | Primary |
Addresses
Primary practice location
1458 Rock Hill Rd
Starkville, MS 39759-8739
Mailing address
1458 Rock Hill Rd
Starkville, MS 39759-8739
Phone (662) 617-1781
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 |
|---|---|---|---|
| 2721 | MS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1376378463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1458 ROCK HILL RD",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397598739",
"telephone_number": "662-617-1781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1458 ROCK HILL RD",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397598739",
"telephone_number": "662-617-1781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINE",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHD, LPC, BC-TMH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-06",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "2721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Starkville, MS
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- Kristin Faith Venarske, MS, RD LDN
- Alicia Vickers, LPC
- Vitality Behavioral Health, LLC
- Patrick William Vukmirovich
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.