Amber M Michalski, LPCC, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1122 Issued in MN

Practice address

1132 28TH Ave S
Moorhead, MN 56560-4420

Phone

(218) 227-5376

NPI assigned

Nov 24, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Progress Valley, Inc.

  • Substance Abuse Rehabilitation Facility
  • Bloomington, MN
  • NPI 1194852590
  NPD (past)
• Progress Valley, Inc.

  • Substance Abuse Rehabilitation Facility
  • Roseville, MN
  • NPI 1225894819

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1700250099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 88TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048303",
            "telephone_number": "952-210-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 28TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565604420",
            "telephone_number": "218-227-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALSKI",
        "first_name": "AMBER",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-24",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303658",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren P Merritt
• Avery Merschman
• Taylor Grant Mertz, MD
• Carolyn Meske, LMFT LPCC
• Hope E. Meyer, M.D.
• Christopher Carl Mickelson
• Midthune Chiropractic PA
• Nicholas Midthune, D.C.
• Midwest Vision Centers Inc
• Courtenay Miedema, LPC

• Mental Health Counselor in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.