Michele Lynch, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC-5703 Issued in ID

Practice address

127 S Washington St Ste 5
Moscow, ID 83843-2866

Phone

(509) 592-8268

Fax

(208) 906-8601

NPI assigned

Oct 31, 2012

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

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sondermind PAGroup PAC ID 3577099621, 78 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Downtown Counseling Group LLC

  • Mental Health Counselor
  • Moscow, ID
  • NPI 1396396677

  WA

  Medicare reassignment NPD Authorized official
• Sondermind, P.a.

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1710647581

  Mental Health, WA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1689928574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S WASHINGTON ST STE 5",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432866",
            "telephone_number": "208-883-9927",
            "fax_number": "208-883-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S WASHINGTON ST STE 5",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432866",
            "telephone_number": "509-592-8268",
            "fax_number": "208-906-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "MICHELE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-5703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Rosen, DO, PLLC
• Catherine Mae Luna
• Teleea Tawnee Lundgren, LMT, NCTMB
• James Rion Lutz
• Douglas Patrick Lynch, DPT
• Michael Lynn, NP
• Nathan Lyon
• Cass Mabbutt, LAC, EAMP
• Lori Marie Mages, PT, PCS
• Candace Louise Magnuson, LMT

• Mental Health Counselor in Moscow, ID
• Providers in Moscow, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.

Verify at the official NPI Registry.