Active NPI
Brenda K Michael, LPC
- Professional Counselor
- Harrisonburg, VA
National Provider Identifier
1407868110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701000830
- Practice address
- 644 University Blvd
Harrisonburg, VA 22801-3750 - Phone
- (540) 564-5629
- Fax
- (540) 433-4338
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- 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 | 0701000830 | VA | Primary |
Addresses
Primary practice location
644 University Blvd
Harrisonburg, VA 22801-3750
Mailing address
PO Box 1430
Harrisonburg, VA 22803-1430
Phone (540) 564-5636
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084552M | Other | VA | SENTARA PROVIDER NUMBER |
| 1164637518 | Other | VA | GROUP NPI NUMBER |
| 11426850 | Other | VA | CAQH PROVIDER NUMBER |
| 177051 | Other | VA | ANTHEM PROVIDER NUMBER |
| 2240808 | Other | VA | CIGNA PROVIDER NUMBER |
| 432609 | Other | VA | VALUE OPTIONS PROVIDER NO |
| 010069593 | Medicaid | VA | |
| 251026 | Other | VA | COMPSYCH PROVIDER NUMBER |
| C05754 | Other | VA | MEDICARE GROUP NUMBER |
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 |
|---|---|---|---|
| 0701000830 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302134400000",
"number": "1407868110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1430",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228031430",
"telephone_number": "540-564-5636",
"fax_number": "540-433-4123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "644 UNIVERSITY BLVD",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228013750",
"telephone_number": "540-564-5629",
"fax_number": "540-433-4338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "BRENDA",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2011-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701000830",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA PROVIDER NUMBER",
"identifier": "084552M",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI NUMBER",
"identifier": "1164637518",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH PROVIDER NUMBER",
"identifier": "11426850",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "177051",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "2240808",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS PROVIDER NO",
"identifier": "432609",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010069593",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH PROVIDER NUMBER",
"identifier": "251026",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "C05754",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrisonburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.