Maureen Michael, MS LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-19892 Issued in AZ

Practice address

711 S Granite St
Prescott, AZ 86303-4241

Phone

(928) 493-4373

Fax

(928) 515-2416

NPI assigned

Jun 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Maureen Reilly Former name

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  AZ

  Medicare reassignment
• Compass Recovery Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Prescott, AZ
  • NPI 1710377650
  NPD (past)

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1568842805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S GRANITE ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034241",
            "telephone_number": "928-863-8703",
            "fax_number": "928-515-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S GRANITE ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034241",
            "telephone_number": "928-493-4373",
            "fax_number": "928-515-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "MAUREEN",
        "credential": "MS LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LSAT 15116",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-19892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "REILLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joan Meyers, PAC
• Steven Mark Meyers, OD
• Michael a. Trainor, D.O., P.C.
• Michael G. Orr, M.D., P.C.
• Jessica Michael, LMT
• Evan R Michalski, PHARMD
• Shannon Marie Michaud, FNP-BC
• Michele a. Bibeau, D.D.S.
• Michele M Peters FNP (Prescott Neurological Clinic)
• Kasey Marie Michelin

• Professional Counselor in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.