Individual provider Active NPI

Michelle R Nault, MA, LPC

  • Professional Counselor
  • Birmingham, AL
National Provider Identifier
1376606806
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2761 Issued in AL
Practice address
2700 Corporate Dr Ste 200
Suite 102
Birmingham, AL 35242-2733
Phone
(205) 314-4761
Fax
(205) 314-4701
NPI assigned
Dec 18, 2006
Last updated
May 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2761 AL Primary

Addresses

Primary practice location

2700 Corporate Dr Ste 200
Suite 102
Birmingham, AL 35242-2733

Mailing address

2700 Corporate Dr Ste 200
Suite 102
Birmingham, AL 35242-2733
Phone (205) 314-4761

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
2761ALMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1376606806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CORPORATE DR STE 200",
            "address_2": "SUITE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422733",
            "telephone_number": "205-314-4761",
            "fax_number": "205-314-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CORPORATE DR STE 200",
            "address_2": "SUITE 102",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422733",
            "telephone_number": "205-314-4761",
            "fax_number": "205-314-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAULT",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.