Active NPI
Michelle Trudell, LPC, RN
- Professional Counselor
- Kingwood, TX
National Provider Identifier
1447543699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12832
- Practice address
- 6415 Sevenleaf LN
Kingwood, TX 77345-2529 - Phone
- (281) 913-1970
- NPI assigned
- May 20, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12832 | TX | Primary |
| Registered Nurse | 163W00000X | 777524 | TX |
Addresses
Primary practice location
6415 Sevenleaf LN
Kingwood, TX 77345-2529
Mailing address
6415 Sevenleaf LN
Kingwood, TX 77345-2529
Phone (281) 913-1970
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12832 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 777524 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305849600000",
"number": "1447543699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6415 SEVENLEAF LN",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773452529",
"telephone_number": "281-913-1970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6415 SEVENLEAF LN",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773452529",
"telephone_number": "281-913-1970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUDELL",
"first_name": "MICHELLE",
"credential": "LPC, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-20",
"last_updated": "2011-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "12832",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "777524",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.