Michelle Wrayanne Glaze Parker, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC011567 Issued in GA

Practice address

700 Churchill CT Ste 110
Woodstock, GA 30188-6880

Phone

(770) 284-9092

NPI assigned

Aug 2, 2020

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

Locations

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.

• Breaking Cycles Counseling, LLC

  • Counselor
  • Rome, GA
  • NPI 1992443808
  NPD Authorized official
• Esfahani Enterprises LLC

  dba Thriveworks

  • Counseling Psychologist
  • Woodstock, GA
  • NPI 1457901340

  Professional

  NPD
• Thriveworks Woodstock

  • Adult Mental Health Clinic/Center
  • Woodstock, GA
  • NPI 1053929786
  NPD

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

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1760092019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GOLD CREEK DR",
            "city": "TALLAPOOSA",
            "state": "GA",
            "postal_code": "301764339",
            "telephone_number": "404-372-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHURCHILL CT STE 110",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886880",
            "telephone_number": "770-284-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZE PARKER",
        "first_name": "MICHELLE",
        "middle_name": "WRAYANNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-02",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "509931",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Rebecca Gilliam, MOT, OTR/L
• Jamie Gillis, P.A.
• Lili D Gipson, D.C.
• Jodi Giuliano, LAPC, NCC
• Alondra Givers, MA, APC, NCC
• Kimberley Glenn, PA
• Angela G Glisson, PT
• Global Administrative Solutions, Inc (Gads)
• Candice Laraine Goch, MSPT
• Amber Godbout

• Professional Counselor in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.