Mikele Grace Michiels-Weldon

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

122 W Washington Ave Ste 630
Madison, WI 53703-2758

Phone

(920) 750-0171

NPI assigned

Sep 16, 2022

Last updated

Sep 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Michiels-Weldon Other name

Medicare fee-for-service enrollment

Enrolled in WI

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, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trailways LLC

  dba Trailways Counseling

  • Mental Health Counselor
  • Waunakee, WI
  • NPI 1639790256
  Medicare reassignment NPD
• Trauma Life Consulting

  dba Trauma Life Consulting LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waunakee, WI
  • NPI 1336930304
  NPD

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1649992579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 FRAZER PL APT 2",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131125",
            "telephone_number": "920-750-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W WASHINGTON AVE STE 630",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032758",
            "telephone_number": "920-750-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHIELS-WELDON",
        "first_name": "MIKELE",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MICHIELS-WELDON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michelle Ayres LLC
• Michelle Ayres, Ms, LMFT
• Brett Foster Michelotti, M.D.
• Collin Michels, M.D.
• Melissa Sue Michels, PHARMD
• Shana Michonski
• Kathleen Anne Michor, OTR/L
• Susan Mick
• Conner Mickelson
• Kira Lynn Mickelson, PT, DPT

• Mental Health Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.