Individual provider Active NPI

Michele Ann Donahue, LPC ASSOCIATE

  • Professional Counselor
  • Grapevine, TX
National Provider Identifier
1740911577
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
83009 Issued in TX
Practice address
920 S Main St Ste 190
Grapevine, TX 76051-7548
Phone
(817) 723-0408
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 83009 TX Primary

Addresses

Primary practice location

920 S Main St Ste 190
Grapevine, TX 76051-7548

Mailing address

PO Box 3813
Grapevine, TX 76099-3813
Phone (817) 723-0408

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL aecg.clientsecure.me

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

LicenseStateTypeSpecialty
83009TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1740911577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3813",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760993813",
            "telephone_number": "817-723-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S MAIN ST STE 190",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517548",
            "telephone_number": "817-723-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "MICHELE",
        "middle_name": "ANN",
        "credential": "LPC ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aecg.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "Private Practice",
            "address_1": "920 S Main St Ste 190",
            "city": "Grapevine",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760517548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.