Michele Moore Endress, L.P.C.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

1415 Issued in GA

Practice address

1772 Century Blvd NE
Atlanta, GA 30345-3396

Phone

(404) 248-1159

Fax

(404) 248-9776

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mark Gilson PHD PC

  • Cognitive & Behavioral Psychologist
  • Atlanta, GA
  • NPI 1033394820
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558575563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1772 CENTURY BLVD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453396",
            "telephone_number": "404-248-1159",
            "fax_number": "404-248-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 CENTURY BLVD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453396",
            "telephone_number": "404-248-1159",
            "fax_number": "404-248-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDRESS",
        "first_name": "MICHELE",
        "middle_name": "MOORE",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "1415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER- LPC",
            "identifier": "1415",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahlet Endale, PHD
• Lauren Ender, LMFT
• Hiwot Endeshaw
• Yohannes Wossen Endeshaw, MD
• Endoscopy Consultants, LLC
• Jessica Enfinger, PA-C
• Paige Michelle Enfinger
• Norman Eng, D.C.
• Terry L. Eng, M.D.
• Tony Y. Eng, MD

• Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.