Michele D. Gortney, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

19940 Issued in TX

Legal business name

MICHELE D. GORTNEY, LPC

Practice address

240 E Renfro St
Suite 201
Burleson, TX 76028-3938

Phone

(817) 913-1517

Fax

(817) 295-7815

NPI assigned

Feb 6, 2015

Organization subpart

No

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

Authorized official

Name

Michele D Gortney, MS, LPC

Title

Counselor/Director

Phone

(817) 913-1517

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1528459914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E RENFRO ST",
            "address_2": "SUITE 201",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283938",
            "telephone_number": "817-913-1517",
            "fax_number": "817-295-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E RENFRO ST",
            "address_2": "SUITE 201",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283938",
            "telephone_number": "817-913-1517",
            "fax_number": "817-295-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE D. GORTNEY, LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "GORTNEY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "COUNSELOR/DIRECTOR",
        "authorized_official_telephone_number": "817-913-1517",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19940",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "38240",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2092363",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193966202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael a Rhodes MD Ms PA
• Michael a. Eller Surgical Assistant Services, LLC
• Michael J Polski MD PA
• Michael Rhodes MD Ms PA
• Miguel Angel Michel Perez, SA-C
• Mid-South Nursing Homes, Inc
• G. Gregory Milini
• Amy Millender, LBSW
• Cara Beth Miller, LMSW
• Janet Miller

• Professional Counselor in Burleson, TX
• Providers in Burleson, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.