Individual provider Active NPI

Michele Mitchell, LPC, CSAC, LASAC

  • Professional Counselor
  • Florence, AZ
National Provider Identifier
1528614757
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-08043 Issued in AZ
Practice address
495 N Pinal Pkwy
Florence, AZ 85132-9292
Phone
(833) 431-4449
NPI assigned
Aug 13, 2019
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17085-132 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X LAAC-15558 AZ
Mental Health Counselor 101YM0800X 8796-125 WI
Mental Health Counselor 101YM0800X LCPC-8761173 ID
Professional Counselor 101YP2500X LPC-08043 AZ Primary

Addresses

Primary practice location

495 N Pinal Pkwy
Florence, AZ 85132-9292

Mailing address

1469 N 1200 W
Orem, UT 84057-2449
Phone (801) 655-5450

Other practice location 1

3303 E Baseline Rd Ste 111
Gilbert, AZ 85234-2739
Phone (801) 655-5450

Other practice location 2

307 N Cascade St Ste 103
Osceola, WI 54020-7502
Phone (801) 655-5450

Other practice location 3

7101 N Green Bay Ave Ste 11
Glendale, WI 53209-2800
Phone (801) 655-5450

Other practice location 4

2270 Teton Plz
Idaho Falls, ID 83404-6485
Phone (801) 655-5450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213003023 AZ Practitioner - Mental Health Counselor 4385087766 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LAAC-15558AZMDAddiction (Substance Use Disorder) Counselor
17085-132WIMDAddiction (Substance Use Disorder) Counselor
LCPC-8761173IDMDMental Health Counselor
8796-125WIMDMental Health Counselor
LPC-08043AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meadowbrook Counseling of Wisconsin, LLC Addiction (Substance Use Disorder) CurrentSince Jul 1, 2024 Accepting new patients
Horizon Health and Wellness, Inc. CurrentSince Aug 3, 2024 Accepting new patients
Horizon Health and Wellness, Inc. Current Accepting new patients
Meadowbrook Counseling of Arizona, LLC Mental Health CurrentSince Sep 16, 2024 Accepting new patients
Horizon Health and Wellness, Inc. CurrentSince Aug 3, 2024 Accepting new patients
Meadowbrook Counseling of Idaho, LLC Mental Health PastSince Jan 1, 2024 Accepting new patients
R.E.a.C.H. Inc. Comprehensive Mental Health Clinic PastSince Aug 1, 2019 Accepting new patients
Horizon Health and Wellness, Inc. Addiction (Substance Use Disorder) Past Accepting new patients

Locations

625 N Plaza Dr
Apache Junction, AZ 85120
Phone (480) 282-6278

115 W 2nd St
Casa Grande, AZ 85122
Phone (520) 836-1688

210 E Cottonwood Ln
Casa Grande, AZ 85122
Phone (520) 836-1688

495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573

3303 E Baseline Rd
Ste 111
Gilbert, AZ 85234
Phone (480) 507-8080

22713 S Ellsworth Rd
Ste 101
San Tan Valley, AZ 85142
Phone (480) 474-5670

1469 N 1200 W
Orem, UT 84057
Phone (801) 210-1432

7101 N Green Bay Ave
Ste 11
Glendale, WI 53209
Phone (414) 352-9600

307 N Cascade St
Ste 103
Osceola, WI 54020

Organizations & group practices 8

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": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1528614757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 N 1200 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572449",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 N PINAL PKWY",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851329292",
            "telephone_number": "833-431-4449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3303 E Baseline Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342739",
            "country_code": "US",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 N Cascade St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Osceola",
            "state": "WI",
            "postal_code": "540207502",
            "country_code": "US",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7101 N Green Bay Ave Ste 11",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "WI",
            "postal_code": "532092800",
            "country_code": "US",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2270 Teton Plz",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834046485",
            "country_code": "US",
            "telephone_number": "801-655-5450",
            "fax_number": "385-225-9327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "LPC, CSAC, LASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17085-132",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LAAC-15558",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "8796-125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-8761173",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-08043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AZ

Sources for this page

Verify at the official NPI Registry.