Michelle A. Mitcham, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH12147 Issued in FL

Practice address

3035 Eliza Rd
Tallahassee, FL 32308-6243

Phone

(813) 777-4028

NPI assigned

Aug 5, 2009

Last updated

Jan 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1518198746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 MCLAUGHLIN DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092759",
            "telephone_number": "813-777-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 ELIZA RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086243",
            "telephone_number": "813-777-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHAM",
        "first_name": "MICHELLE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-05",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12147",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miracle Hill Nursing and Rehabilitation Center, Inc. (Miracle Hill Outpatient Rehabilitative Services)
• Agrata Mishra, MD
• Mission of Hope of Tallahassee, Inc
• Payal Mistry
• Satish Chand Mital, M.D.
• Ashley Mitchell-Buckman
• Badonna Mitchell, LMFT
• Bianca Mitchell
• Elliana Grace Mitchell
• Jaslynne Mitchell

• Mental Health Counselor in Tallahassee, FL
• Providers in Tallahassee, 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 13, 2025; 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.