Individual provider Active NPI

Michelle Archer, MSED, LMHC, LPCC

  • Mental Health Counselor
  • Lima, OH
National Provider Identifier
1679943922
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2001753 Issued in OH
Practice address
2535 Fort Amanda Rd
Lima, OH 45804-3728
Phone
(419) 999-2010
Fax
(419) 999-6284
NPI assigned
Sep 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ADC-009178-2015 FL
Mental Health Counselor 101YM0800X MH13530 FL
Professional Counselor 101YP2500X E2001753 OH
Mental Health Counselor 101YM0800X E.2001753 OH Primary

Addresses

Primary practice location

2535 Fort Amanda Rd
Lima, OH 45804-3728

Mailing address

1100 Shawnee Rd
Lima, OH 45805-3529
Phone (419) 999-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627000551 OH Practitioner - Clinical Social Worker 9537603998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Darke County Recovery ServicesGroup PAC ID 7315176005, 18 clinicians

Practice addresses (Care Compare)

1101 N Vandemark Rd
Sidney, OH 45365-3567
Phone (937) 548-6842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ADC-009178-2015FLMDAddiction (Substance Use Disorder) Counselor
MH13530FLMDMental Health Counselor
E2001753OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Darke County Recovery Services CurrentSince Feb 17, 2026 Accepting new patients
Lima Memorial Joint Operating Company PastSince Aug 1, 2022 Accepting new patients

Locations

600 Walnut St
Greenville, OH 45331
Phone (937) 335-0361

212 E Main St
Greenville, OH 45331
Phone (937) 423-6344

1101 N Vandemark Rd
Sidney, OH 45365
Phone (937) 492-8080

1483 W Main St
Tipp City, OH 45371
Phone (937) 335-0361

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/recoveryandwellnessohio/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1679943922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SHAWNEE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053529",
            "telephone_number": "419-999-2010",
            "fax_number": "419-999-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 FORT AMANDA RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458043728",
            "telephone_number": "419-999-2010",
            "fax_number": "419-999-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "MICHELLE",
        "credential": "MSED, LMHC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "ADC-009178-2015",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13530",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E2001753",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2001753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.