Active NPI
Michelle Archer, MSED, LMHC, LPCC
- Mental Health Counselor
- Lima, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.2001753
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ADC-009178-2015 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| MH13530 | FL | MD | Mental Health Counselor |
| E2001753 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darke County Recovery Services | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | 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
- 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.
-
- Community/Behavioral Health Agency
- Greenville, OH
- NPI 1508287764
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.