Individual provider Active NPI

Kelly M Michaud, LPC

  • Mental Health Counselor
  • Hinesville, GA
National Provider Identifier
1447588363
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
345 W Memorial Dr
Hinesville, GA 31313-2413
Phone
(912) 456-2010
NPI assigned
Dec 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

345 W Memorial Dr
Hinesville, GA 31313-2413

Mailing address

345 W Memorial Dr
Hinesville, GA 31313-2413

Other practice location 1

128 Frances Meeks Way Ste 16
Richmond Hill, GA 31324-3985
Phone (912) 508-1223

Other identifiers 2

IdentifierTypeStateIssuer
12610067OtherGACAQH
003141299AMedicaidGA

Other names 1

  • Kelly A Murphy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250514002705 GA Practitioner - Mental Health Counselor 9234657115 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Tennessee, Inc. CurrentSince Apr 28, 2025 Accepting new patients
Centerstone of Tennessee, Inc. CurrentSince Apr 28, 2025 Accepting new patients
The Resilience Group Mental Health CurrentSince Aug 11, 2019 Accepting new patients

Locations

345 W Memorial Dr
Hinesville, GA 31313
Phone (912) 456-2002

7306 GA Highway 21
Ste 101
Port Wentworth, GA 31407

128 Frances Meeks Way
Ste 16
Richmond Hill, GA 31324
Phone (229) 868-0403

1921 Ransom Pl
Nashville, TN 37217
Phone (615) 279-6700

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1447588363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W MEMORIAL DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W MEMORIAL DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132413",
            "telephone_number": "912-456-2010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 Frances Meeks Way Ste 16",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "GA",
            "postal_code": "313243985",
            "country_code": "US",
            "telephone_number": "912-508-1223",
            "fax_number": "912-257-4413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "KELLY",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-04",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12610067",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003141299A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MURPHY",
            "middle_name": "A",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hinesville, GA

Sources for this page

Verify at the official NPI Registry.