Individual provider Active NPI

Michelle O'Flynn

  • Professional Counselor
  • New Orleans, LA
National Provider Identifier
1457952251
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PLC8500 Issued in LA
Practice address
3221 Behrman PL Ste 201
New Orleans, LA 70114-8204
Phone
(504) 263-2800
NPI assigned
Nov 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X PLC8500 LA Primary

Addresses

Primary practice location

3221 Behrman PL Ste 201
New Orleans, LA 70114-8204

Mailing address

3221 Behrman PL Ste 201
New Orleans, LA 70114-8204
Phone (504) 263-2800

Other identifiers 1

IdentifierTypeStateIssuer
452858222MedicaidLA

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

LicenseStateTypeSpecialty
PLC8500LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Intervention Rehabilitation, LLC CurrentSince Jun 18, 2023 Accepting new patients

Locations

3221 Behrman Pl
Ste 201
New Orleans, LA 70114
Phone (504) 263-2800

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1457952251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 BEHRMAN PL STE 201",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701148204",
            "telephone_number": "504-263-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 BEHRMAN PL STE 201",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701148204",
            "telephone_number": "504-263-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'FLYNN",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "PLC8500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "452858222",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.