Active NPI
Marie-Michele Michele Atkinson
- Marriage & Family Therapist
- Austin, TX
National Provider Identifier
1548813355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 124493
- Practice address
- 4807 Spicewood Springs Rd BLDG 1
Austin, TX 78759-8444 - Phone
- (512) 843-7665
- NPI assigned
- Jul 20, 2019
- Last updated
- May 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 204985 | TX | |
| Marriage & Family Therapist | 106H00000X | 124493 | CA | Primary |
Addresses
Primary practice location
4807 Spicewood Springs Rd BLDG 1
Austin, TX 78759-8444
Mailing address
PO Box 1345
Topanga, CA 90290-1345
Phone (510) 646-1410
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mariemicheleatkinson@blueoaktherapycenter.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124493 | CA | MD | Marriage & Family Therapist |
| 204985 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1548813355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1345",
"city": "TOPANGA",
"state": "CA",
"postal_code": "902901345",
"telephone_number": "510-646-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4807 SPICEWOOD SPRINGS RD BLDG 1",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598444",
"telephone_number": "512-843-7665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINSON",
"first_name": "MARIE-MICHELE",
"middle_name": "MICHELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-20",
"last_updated": "2023-05-08",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "204985",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "124493",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mariemicheleatkinson@blueoaktherapycenter.org",
"affiliation": "N",
"endpointDescription": "business email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3101 Telegraph Ave",
"city": "Berkeley",
"state": "CA",
"country_code": "US",
"postal_code": "947051984",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.