Active NPI
Michelle A. Kelly, LCMHC
- Mental Health Counselor
- Lehi, UT
National Provider Identifier
1699041020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8669573-6004
- Practice address
- 4101 N Thanksgiving Way
Lehi, UT 84043-4367 - Phone
- (801) 341-2308
- NPI assigned
- Mar 29, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8669573-6004 | UT | Primary |
Addresses
Primary practice location
4101 N Thanksgiving Way
Lehi, UT 84043-4367
Mailing address
420 Aspen Dr
Wanship, UT 84017-9544
Phone (801) 231-1873
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 |
|---|---|---|---|
| 8669573-6004 | UT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1699041020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 ASPEN DR",
"city": "WANSHIP",
"state": "UT",
"postal_code": "840179544",
"telephone_number": "801-231-1873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 N THANKSGIVING WAY",
"city": "LEHI",
"state": "UT",
"postal_code": "840434367",
"telephone_number": "801-341-2308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "MICHELLE",
"middle_name": "A.",
"name_prefix": "Miss",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-29",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "8669573-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.