Individual provider Active NPI

Michelle Elaine Devaul, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1548680770
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC006229 Issued in GA
Practice address
100 Edgewood Ave NE
Suite 1800
Atlanta, GA 30303-3026
Phone
(404) 591-7051
NPI assigned
Apr 28, 2014
Last updated
May 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2014

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 LPC006229 GA Primary

Addresses

Primary practice location

100 Edgewood Ave NE
Suite 1800
Atlanta, GA 30303-3026

Mailing address

PO Box 87415
College Park, GA 30337-0415
Phone (678) 427-7533

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
LPC006229GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Intown Counseling & Wellness Professional Past Accepting new patients

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, 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": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1548680770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87415",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303370415",
            "telephone_number": "678-427-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EDGEWOOD AVE NE",
            "address_2": "SUITE 1800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033026",
            "telephone_number": "404-591-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVAUL",
        "first_name": "MICHELLE",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.