Michelle Magida, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.010603 Issued in IL

Practice address

1217 McHenry Rd Ste 236
Buffalo Grove, IL 60089-1379

Phone

(847) 807-8777

NPI assigned

Aug 20, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Pomeranz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beyond Therapy PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo Grove, IL
  • NPI 1942968359
  NPD Authorized official
• Therapy Etc

  • Community/Behavioral Health Agency
  • Buffalo Grove, IL
  • NPI 1518418177
  NPD (past) Authorized official

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1407289887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 MCHENRY RD STE 236",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891379",
            "telephone_number": "847-807-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 MCHENRY RD STE 236",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891379",
            "telephone_number": "847-807-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGIDA",
        "first_name": "MICHELLE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.010603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "POMERANZ",
            "credential": "LBS1",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Consuelo Barba Luzano, P.T.
• David Michael Lyke, LCPC
• M & M Supplies, Inc.
• Ajay A Madhani, MD
• Mary Madsen, RPH
• Michael J Magidow, MD, PHD
• Lynette Morgan Mahoney, DPM
• Eric Mai
• Deborah Rose Malitz, LCSW
• Jacqueline Sonnenberg Mallinger, MSW

• Mental Health Counselor in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.