Individual provider Active NPI

Michelle D. Mitchell, LPC-S

  • Professional Counselor
  • Bossier City, LA
National Provider Identifier
1487936225
Registry record updated Feb 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4229 Issued in LA
Practice address
2285 Benton Rd Ste D-201B
Bossier City, LA 71111-7933
Phone
(318) 691-1616
NPI assigned
Sep 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 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 4229 LA Primary

Addresses

Primary practice location

2285 Benton Rd Ste D-201B
Bossier City, LA 71111-7933

Mailing address

1911 Valdemar PL
Bossier City, LA 71112-3912
Phone (318) 840-8251

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
4229LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle D Mitchell Supervision & Counseling Services LLC Professional Current Accepting new patients
Bellaire Baptist Church Professional Past Accepting new patients

Locations

2285 Benton Rd
Ste D201B
Bossier City, LA 71111
Phone (318) 691-1616

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": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771718400000",
    "number": "1487936225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 VALDEMAR PL",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711123912",
            "telephone_number": "318-840-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 BENTON RD STE D-201B",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711117933",
            "telephone_number": "318-691-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MICHELLE",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2026-02-22",
        "certification_date": "2026-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2026; 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.