Michelle Drew, M.ED.M CAGS, LPC
Individual provider Active NPI Professional Counselor · Thompson, CT
NPI 1497061394 · NPPES record last updated Sep 15, 2019
Key facts
- NPI
- 1497061394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 003588 (CT)
- Practice address
- 26 Chase Rd
Thompson, CT 06277-2802 - Phone
- (781) 635-0598
- Fax
- (860) 923-3730
- NPI assigned
- Aug 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003588 | CT | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Mind Counseling | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | 003588 | CT | Yes |
Addresses
Primary practice location
26 Chase Rd
Thompson, CT 06277-2802
Mailing address
PO Box 304
Thompson, CT 06277-0304
Phone (781) 635-0598
Other practice location 1
172 Lincoln St
Worcester, MA 01605-3750
Phone (508) 770-0511 ext. 146
Other providers in Thompson, CT
- Alyssa Bond
- Shaylene Boudreau
- Christina Renee Cournoyer
- Jasmin Denham
- Richard Harding Drew III
- Elevate Wellness and Therapy LLC
- Bretsin Eliah
- Natalie Gue
- Jeongseok Han
All providers in Thompson, CT · Professional Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.