Michaele Kubacz

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10775 Issued in SC

Practice address

125 Muddy Toes Dr
Anderson, SC 29626-5349

Phone

(864) 353-3384

NPI assigned

Mar 20, 2025

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

Medicare fee-for-service enrollment

Enrolled in SC

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Counseling for Life IncGroup PAC ID 8426490426, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Counseling for Life, Inc.

  • Professional Counselor
  • Anderson, SC
  • NPI 1588954994
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1609677111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6254 LIBERTY HWY",
            "city": "PENDLETON",
            "state": "SC",
            "postal_code": "296709784",
            "telephone_number": "803-236-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MUDDY TOES DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296265349",
            "telephone_number": "864-353-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBACZ",
        "first_name": "MICHAELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "10775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett A Kowal, DPT
• Megan Leeann Baker Kral
• Macy Patricia Krimm, PHARMD
• Cindy Kroener, COUNSELOR LL
• Nicole Gamun Ho Krzan, MS, LPC, ATR
• Veronika Kucherov
• Sanjeev Kumar, MD
• Dallas James Kunkel, D.M.D
• Michael Ray Kunkel, MD
• Adrienne Talbert Kush, LCSW, LISW-CP

• Professional Counselor in Anderson, SC
• Providers in Anderson, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.