Individual provider Active NPI

Michele Ann Roland, MA LPC

  • Professional Counselor
  • Sinking Spring, PA
National Provider Identifier
1528163151
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC002815 Issued in PA
Practice address
2917 Windmill Rd
Ste 4
Sinking Spring, PA 19608-1679
Phone
(610) 670-7010
Fax
(610) 670-7910
NPI assigned
Sep 14, 2006
Last updated
Sep 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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 PC002815 PA Primary

Addresses

Primary practice location

2917 Windmill Rd
Ste 4
Sinking Spring, PA 19608-1679

Mailing address

2917 Windmill Rd
Ste 4
Sinking Spring, PA 19608-1679
Phone (610) 670-7010

Other identifiers 5

IdentifierTypeStateIssuer
50020226OtherPACAPITAL BLUE CROSS
592170000OtherPAMAGELLAN HEALTH SERVICES
2319237000OtherPAINDEP BC PERSONAL CHOICE
7414233OtherPAAETNA
550256OtherPAVALUEOPTIONS

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC002815PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Affinity Counseling Services LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: micheleroland@tdh.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1528163151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 WINDMILL RD",
            "address_2": "STE 4",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196081679",
            "telephone_number": "610-670-7010",
            "fax_number": "610-670-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 WINDMILL RD",
            "address_2": "STE 4",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196081679",
            "telephone_number": "610-670-7010",
            "fax_number": "610-670-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLAND",
        "first_name": "MICHELE",
        "middle_name": "ANN",
        "credential": "MA LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC002815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50020226",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH SERVICES",
            "identifier": "592170000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEP BC PERSONAL CHOICE",
            "identifier": "2319237000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7414233",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "550256",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sinking Spring, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.