Michelle Wareham, LCAS-A LPC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A13703 Issued in NC

Practice address

1001 Navaho Dr Ste Gl103
Raleigh, NC 27609-7368

Phone

(919) 431-9874

Fax

(919) 431-9875

NPI assigned

Mar 14, 2018

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 names 1

• Michelle Wareham Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Breaking Through Barriers Counseling Services PLLC

  • Professional Counselor
  • Cary, NC
  • NPI 1356915755

  Single Specialty

  NPD Authorized official
• Anew U Counseling Services PLLC

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1245799824
  NPD (past)

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1629571872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 TANGLEWOOD DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114642",
            "telephone_number": "919-632-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NAVAHO DR STE GL103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097368",
            "telephone_number": "919-431-9874",
            "fax_number": "919-431-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAREHAM",
        "first_name": "MICHELLE",
        "credential": "LCAS-A  LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A13703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WAREHAM",
            "credential": "MICHELLE WAREHAM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sherry Denise Ward
• Taryn Ward, LCMHC
• Andrew Jeffrey Warden, LCSWA
• Kendra Elise Jornell Wardlow
• Damion Ware
• Ann M Waring, PH.D.
• Shannon Warlop, ATC
• Courtney Warner
• Hans Jost Warner, LCSW
• Kelley Gilmer Warner, BCBA

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.