Individual provider Active NPI

Michelle Newdeck, MS, LPC, NCC

  • Counselor
  • Philadelphia, PA
National Provider Identifier
1588037170
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC007535 Issued in PA
Practice address
928 Market St
Philadelphia, PA 19107-4226
Phone
(215) 923-4202
Fax
(214) 923-4751
NPI assigned
Nov 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC007535 PA Primary

Addresses

Primary practice location

928 Market St
Philadelphia, PA 19107-4226

Mailing address

5 Dale LN
Malvern, PA 19355-1203
Phone (215) 353-7585

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC007535PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Medicine and Health Advocates, Incorporated 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": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1588037170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DALE LN",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551203",
            "telephone_number": "215-353-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074226",
            "telephone_number": "215-923-4202",
            "fax_number": "214-923-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWDECK",
        "first_name": "MICHELLE",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC007535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.