Individual provider Active NPI

Deborah Michelman, LAC

  • Mental Health Counselor
  • Conshohocken, PA
National Provider Identifier
1750756029
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00209900 Issued in NJ
Practice address
20 E 2ND Ave Ste 100
Conshohocken, PA 19428-1880
Phone
(484) 534-9686
Fax
(610) 828-4910
NPI assigned
Dec 11, 2015
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00209900 NJ Primary

Addresses

Primary practice location

20 E 2ND Ave Ste 100
Conshohocken, PA 19428-1880

Mailing address

1101 New Dehaven St
Conshohocken, PA 19428-2742
Phone (484) 534-9686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20240229002949 PA Practitioner - Mental Health Counselor 6608211628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conshohocken Center for Emotional HealthGroup PAC ID 0446539738, 3 clinicians

Practice addresses (Care Compare)

20 E 2ND Ave
Suite 100
Conshohocken, PA 19428-1880
Phone (484) 534-9686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00209900NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Conshohocken Center for Emotional Health CurrentSince Feb 16, 2024 Accepting new patients

Locations

20 E 2nd Ave
Ste 100
Conshohocken, PA 19428
Phone (484) 534-9686

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1750756029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 NEW DEHAVEN ST",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282742",
            "telephone_number": "484-534-9686",
            "fax_number": "610-828-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E 2ND AVE STE 100",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281880",
            "telephone_number": "484-534-9686",
            "fax_number": "610-828-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELMAN",
        "first_name": "DEBORAH",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2025-09-11",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00209900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conshohocken, PA

Sources for this page

Verify at the official NPI Registry.