Michele Johnston, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC005995 Issued in PA

Practice address

18278 Technology Dr
Meadville, PA 16335-8380

Phone

(814) 332-0095

Fax

(814) 746-3994

NPI assigned

Aug 24, 2011

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

• Michele Shorts Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1669752465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18278 TECHNOLOGY DR",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163358380",
            "telephone_number": "814-332-0095",
            "fax_number": "814-746-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18278 TECHNOLOGY DR",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163358380",
            "telephone_number": "814-332-0095",
            "fax_number": "814-746-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MICHELE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "SHORTS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Professional Counselor in Meadville, PA
• Providers in Meadville, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.