Individual provider Active NPI

Michael J Luley, LPC

  • Professional Counselor
  • Fulton, MO
National Provider Identifier
1649321829
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2001007816 Issued in MO
Practice address
2625 Fairway Dr Ste C
Fulton, MO 65251-4023
Phone
(573) 808-4131
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2001007816 MO Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 979 MO

Addresses

Primary practice location

2625 Fairway Dr Ste C
Fulton, MO 65251-4023

Mailing address

2625 Fairway Dr Ste C
Fulton, MO 65251-4023
Phone (573) 582-1234

Other practice location 1

2625 Fairway Dr Ste B
Fulton, MO 65251-4023
Phone (573) 808-4131

Other identifiers 1

IdentifierTypeStateIssuer
498463009MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20231130001717 MO Practitioner - Mental Health Counselor 5395193411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Health IncGroup PAC ID 1951206754, 317 clinicians

Practice addresses (Care Compare)

2625 Fairway Dr
Fulton, MO 65251-4023
Phone (888) 403-1071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
979MOMDAddiction (Substance Use Disorder) Counselor
2001007816MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince Jan 29, 2024 Accepting new patients
Compass Health, Inc CurrentSince Jan 29, 2024 Accepting new patients

Locations

1800 Community
#B
Clinton, MO 64735

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

2625 Fairway Dr
Ste B
Fulton, MO 65251
Phone (573) 808-4131

2625 Fairway Dr
Ste E
Fulton, MO 65251
Phone (573) 642-0087

2625 Fairway Dr
Ste C
Fulton, MO 65251
Phone (573) 592-7750

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1649321829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 FAIRWAY DR STE C",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652514023",
            "telephone_number": "573-582-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 FAIRWAY DR STE C",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652514023",
            "telephone_number": "573-808-4131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2625 Fairway Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "MO",
            "postal_code": "652514023",
            "country_code": "US",
            "telephone_number": "573-808-4131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LULEY",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2001007816",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "979",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498463009",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MO

Sources for this page

Verify at the official NPI Registry.