Individual provider Active NPI

Michelle Croyle

  • Professional Counselor
  • Monroeville, PA
National Provider Identifier
1659910420
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC012078 Issued in PA
Practice address
4400 Old William Penn Hwy Ste 213
Monroeville, PA 15146-1480
Phone
(724) 980-3307
NPI assigned
Dec 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC012078 PA
Professional Counselor 101YP2500X PC012078 PA Primary

Addresses

Primary practice location

4400 Old William Penn Hwy Ste 213
Monroeville, PA 15146-1480

Mailing address

177 Shearer Rd
New Kensington, PA 15068-9320
Phone (724) 980-3307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC012078PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Freedom Counseling, LLC Professional CurrentSince Dec 29, 2019 Accepting new patients

Locations

4400 Old William Penn Hwy
Ste 213
Monroeville, PA 15146
Phone (724) 980-3307

Organizations & group practices 1

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": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1659910420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 SHEARER RD",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150689320",
            "telephone_number": "724-980-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 OLD WILLIAM PENN HWY STE 213",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461480",
            "telephone_number": "724-980-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROYLE",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC012078",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.