Individual provider Active NPI

Michelle Ann Pettigrew, APC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1447908710
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC015498 Issued in GA
Practice address
282 Ardmore Cir NW Apt 7
Atlanta, GA 30309-1870
Phone
(720) 988-0038
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC015498 GA Primary

Addresses

Primary practice location

282 Ardmore Cir NW Apt 7
Atlanta, GA 30309-1870

Mailing address

282 Ardmore Cir NW Apt 7
Atlanta, GA 30309-1870
Phone (720) 988-0038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • 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
I20260319002737 GA Practitioner - Mental Health Counselor 5193209906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4806 Winding LN
Powder Springs, GA 30127-3869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC015498GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aloft Healing Studios, LLC Mental Health CurrentSince Dec 22, 2025 Accepting new patients
Chris 180, Inc. Past Accepting new patients

Locations

1690 Stone Village Ln NW
Ste 701
Kennesaw, GA 30152
Phone (470) 485-7360

Organizations & group practices 2

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": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1447908710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 ARDMORE CIR NW APT 7",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091870",
            "telephone_number": "720-988-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 ARDMORE CIR NW APT 7",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091870",
            "telephone_number": "720-988-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIGREW",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "credential": "APC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC015498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.