Individual provider Active NPI

Michelle Ann Wooten, LIMHP, CPC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1508210642
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2394 Issued in NE
Practice address
1600 S 70TH St Ste 200
Lincoln, NE 68506-1568
Phone
(402) 309-4487
Fax
(402) 937-8324
NPI assigned
Apr 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10823 NE
Mental Health Counselor 101YM0800X 2394 NE Primary

Addresses

Primary practice location

1600 S 70TH St Ste 200
Lincoln, NE 68506-1568

Mailing address

12019 S 79TH Ave
Papillion, NE 68046-4609
Phone (402) 309-4487

Other practice location 1

120 Wedgewood Drive
Lincoln, NE 68510
Phone (402) 441-3770

Other practice location 2

8101 O St Ste 300
Lincoln, NE 68510-2647
Phone (402) 261-3714

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
10823NEMDMental Health Counselor
2394NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle a. Wooten, LLC Mental Health Current Accepting new patients

Locations

1600 S 70th St
Ste 200
Lincoln, NE 68506
Phone (402) 937-8323

8101 O St
Ste 300
Lincoln, NE 68510
Phone (402) 261-3714

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1508210642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12019 S 79TH AVE",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464609",
            "telephone_number": "402-309-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S 70TH ST STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061568",
            "telephone_number": "402-309-4487",
            "fax_number": "402-937-8324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Wedgewood Drive",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "68510",
            "country_code": "US",
            "telephone_number": "402-441-3770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8101 O St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685102647",
            "country_code": "US",
            "telephone_number": "402-261-3714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "credential": "LIMHP, CPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10823",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.