Active NPI
Michelle L Harmon, LPCC
- Professional Counselor
- Albuquerque, NM
National Provider Identifier
1427423177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CCMH0196561
- Practice address
- 9400 Eagle Rock Ave NE
Albuquerque, NM 87122-3853 - Phone
- (505) 259-6868
- NPI assigned
- Dec 7, 2015
- Last updated
- Feb 25, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0172911 | NM | |
| Professional Counselor | 101YP2500X | CCMH0196561 | NM | Primary |
Addresses
Primary practice location
9400 Eagle Rock Ave NE
Albuquerque, NM 87122-3853
Mailing address
9400 Eagle Rock Ave NE
Albuquerque, NM 87122-3853
Phone (505) 259-6868
Other practice location 1
8100 Wellsburg Ct NW
Albuquerque, NM 87120-3815
Phone (505) 259-6868
Other practice location 2
11300 Lomas Blvd NE
Albuquerque, NM 87112-5512
Phone (505) 332-6843
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57723010 | Medicaid | NM |
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 |
|---|---|---|---|
| 0172911 | NM | MD | Mental Health Counselor |
| CCMH0196561 | NM | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551052800000",
"number": "1427423177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9400 EAGLE ROCK AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871223853",
"telephone_number": "505-259-6868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 EAGLE ROCK AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871223853",
"telephone_number": "505-259-6868"
}
],
"practiceLocations": [
{
"address_1": "8100 Wellsburg Ct NW",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871203815",
"country_code": "US",
"telephone_number": "505-259-6868",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11300 Lomas Blvd NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871125512",
"country_code": "US",
"telephone_number": "505-332-6843",
"fax_number": "505-332-6727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARMON",
"first_name": "MICHELLE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-07",
"last_updated": "2019-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0172911",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "CCMH0196561",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "57723010",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.