Active NPI
Michelle A. B. Hathorn, LPCA
- Professional Counselor
- Fort Thomas, KY
National Provider Identifier
1679943138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCCCA00222615
- Practice address
- 18 N Fort Thomas Ave Ste 109
Fort Thomas, KY 41075-1595 - Phone
- (859) 462-0231
- Fax
- (859) 448-5923
- NPI assigned
- Sep 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPCCCA00222615 | KY | Primary |
Addresses
Primary practice location
18 N Fort Thomas Ave Ste 109
Fort Thomas, KY 41075-1595
Mailing address
18 N Fort Thomas Ave Ste 109
Fort Thomas, KY 41075-1595
Phone (859) 462-0231
Other practice location 1
7000 Houston Rd
Suite 29
Florence, KY 41042-4873
Phone (859) 746-9272
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPCCCA00222615 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Counseling Services, LLC | Professional | Past | Accepting new patients |
| Positive Pathways LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- Fort Thomas, KY
- NPI 1871047241
-
- Mental Health Counselor
- Cincinnati, OH
- NPI 1386706893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657929600000",
"number": "1679943138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 N FORT THOMAS AVE STE 109",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410751595",
"telephone_number": "859-462-0231",
"fax_number": "859-448-5923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 N FORT THOMAS AVE STE 109",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410751595",
"telephone_number": "859-462-0231",
"fax_number": "859-448-5923"
}
],
"practiceLocations": [
{
"address_1": "7000 Houston Rd",
"address_2": "Suite 29",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "KY",
"postal_code": "410424873",
"country_code": "US",
"telephone_number": "859-746-9272",
"fax_number": "859-746-9322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HATHORN",
"first_name": "MICHELLE",
"middle_name": "A. B.",
"credential": "LPCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-28",
"last_updated": "2022-07-16",
"certification_date": "2022-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "LPCCCA00222615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Thomas, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.