Michael Veneziale, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC009801 Issued in PA

Practice address

600 N Jackson St Ste 300
Media, PA 19063-2530

Phone

(215) 399-9764

NPI assigned

Nov 29, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thriveworks.michaelveneziale@150423.advancedmd-direct.com

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.

• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300
  NPD

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1669986535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S 42ND ST APT 3F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044429",
            "telephone_number": "215-280-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N JACKSON ST STE 300",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632530",
            "telephone_number": "215-399-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENEZIALE",
        "first_name": "MICHAEL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annapoorna Varada, M.D.
• Julia Vasko-Rock, DPT
• Ryan Vass, MD, MBA
• Jennifer Jayne Velez
• Patricia Veloso, MD
• Judith R Venuto, O.D.
• Verma Pontarelli & Sutera Assoc
• Renuka H Verma, DPM
• Nenita V Victoria, MD
• Melissa Vilaisak, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.