Michelle Paige

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC01138 Issued in MN

Practice address

2031 Rowland Rd
Mora, MN 55051-7119

Phone

(763) 242-1400

NPI assigned

Aug 29, 2016

Sex

Female

Sole proprietor

Yes

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.

• Nielsen Therapy Services

  • Community/Behavioral Health Agency
  • Askov, MN
  • NPI 1346690054
  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487100665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 ROWLAND RD",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550517119",
            "telephone_number": "763-242-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 ROWLAND RD",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550517119",
            "telephone_number": "763-242-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6333 H C Andersen Alle",
            "address_purpose": "LOCATION",
            "city": "Askov",
            "state": "MN",
            "postal_code": "557049291",
            "country_code": "US",
            "telephone_number": "320-296-2828 x62828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6241 Main St",
            "address_purpose": "LOCATION",
            "city": "North Branch",
            "state": "MN",
            "postal_code": "550566597",
            "country_code": "US",
            "telephone_number": "320-630-5026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6241 Main St",
            "address_purpose": "LOCATION",
            "city": "North Branch",
            "state": "MN",
            "postal_code": "550566597",
            "country_code": "US",
            "telephone_number": "320-630-5026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAIGE",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303610",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC01138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Mora, MN
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.