Michelle Pastor, LMHC, CAP, ICADC
Individual provider Active NPI Mental Health Counselor · Wesley Chapel, FL
NPI 1588093413 · NPPES record last updated Feb 12, 2024
Key facts
- NPI
- 1588093413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH12879 (FL)
- Practice address
- 30740 State Road 54
Suite 128
Wesley Chapel, FL 33543 - Phone
- (813) 484-0002
- Fax
- (813) 994-1770
- NPI assigned
- Nov 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
27251 Wesley Chapel Blvd
Suite 1246
Wesley Chapel, FL 33544-4285
30011 Playa del Rey LN
Wesley Chapel, FL 33543-6799
30740 State Rd
54 Suite 128
Wesley Chapel, FL 33543-6009
Phone (813) 484-0002
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240129004610 | FL | Practitioner - Mental Health Counselor | 0143673814 | Practice locations: Wesley Chapel, FL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100 | FL | MD | Counselor |
| 5033 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| MH12879 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Pathway Counseling LLC | Mental Health | Current |
Accepting new patients |
| Beacon Psychiatry, LLC | Mental Health | Past |
Accepting new patients |
Locations
2044 Ashley Oaks Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 484-0002
27251 Wesley Chapel Blvd
Wesley Chapel, FL 33544
Phone (813) 543-9652
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 100 | FL | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5033 | FL | |
| Mental Health Counselor | 101YM0800X | MH12879 | FL | Yes |
Addresses
Primary practice location
30740 State Road 54
Suite 128
Wesley Chapel, FL 33543
Mailing address
27251 Wesley Chapel Blvd Ste 1246
Wesley Chapel, FL 33544-4285
Phone (813) 484-0002
Other providers in Wesley Chapel, FL
- Pasco-Pinellas Hillsborough Community Health System Inc
- Pasco-Pinellas Hillsborough Community Health System Inc
- Gabriella Pasos
- Raj M. Paspulati
- Angela Cherie' Passero
- Supriya Pasupulati
- Agam Patel
- Ajay Patel
- Amber Patel
- Amisa Patel
All providers in Wesley Chapel, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.