Machelle Outlaw Bass, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3563 Issued in NC

Practice address

1010 N Breazeale Ave Unit C
Unit E
Mount Olive, NC 28365-1106

Phone

(919) 658-7500

Fax

(919) 658-7509

NPI assigned

May 24, 2006

Last updated

Oct 29, 2013By the provider in NPPES

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

• Ms. Hope Machelle Outlaw Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bass Counseling Services, PA

  • Counselor
  • Mount Olive, NC
  • NPI 1649441221
  NPD (past) Authorized official

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1669427845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 FIVE POINTS RD",
            "city": "DUDLEY",
            "state": "NC",
            "postal_code": "283335261",
            "telephone_number": "919-581-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N BREAZEALE AVE UNIT C",
            "address_2": "UNIT E",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283651106",
            "telephone_number": "919-658-7500",
            "fax_number": "919-658-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "MACHELLE",
        "middle_name": "OUTLAW",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOPE",
            "last_name": "OUTLAW",
            "middle_name": "MACHELLE",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ella Ames
• Amy M Kimes, DDS PA
• Angels on Earth of NC LLC (Angels On Earth Home Care)
• Stephen E Ballesteros
• Bass Counseling Services, PA
• Kissie Kordeela Battle
• Cyrah Bednarek
• Madie Bell, LCASA
• Beyond the Storm Counseling, PLLC
• Sreenadha Reddy Bommu, RPH

• Professional Counselor in Mount Olive, NC
• Providers in Mount Olive, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.