Michelle Ann Salomon, LMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH7317 Issued in FL

Practice address

1540 International Pkwy Ste 2000
Lake Mary, FL 32746-5096

Phone

(407) 688-1770

Fax

(407) 688-7205

NPI assigned

Jun 23, 2005

Reactivated

Apr 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1467458406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 INTERNATIONAL PKWY STE 2000",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465096",
            "telephone_number": "407-688-1770",
            "fax_number": "407-688-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 INTERNATIONAL PKWY STE 2000",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465096",
            "telephone_number": "407-688-1770",
            "fax_number": "407-688-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALOMON",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2018-01-22",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2007-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER #",
            "identifier": "Z034U",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Samantha L Charbonneau PA
• Nadia Samara

• Mental Health Counselor in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.