Individual provider Active NPI

Ava Helene Michael, LCMHCA

  • Mental Health Counselor
  • Wilmington, NC
National Provider Identifier
1760350656
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A22190 Issued in NC
Practice address
4910 Randall Pkwy Ste B
Wilmington, NC 28403-2827
Phone
(910) 515-4556
Fax
(910) 446-3668
NPI assigned
Oct 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 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 A22190 NC Primary

Addresses

Primary practice location

4910 Randall Pkwy Ste B
Wilmington, NC 28403-2827

Mailing address

4910 Randall Pkwy Ste B
Wilmington, NC 28403-2827
Phone (910) 515-4556

Other identifiers 1

IdentifierTypeStateIssuer
A22190OtherNCLCMHCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260416000846 NC Practitioner - Mental Health Counselor 9133695216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4910 Randall Pkwy
Suite B
Wilmington, NC 28403-2827

4910 Randall Pkwy B
Wilmington, NC 28403-2827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A22190NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orndorff Psychological Services PLLC Mental Health CurrentSince Nov 7, 2025 Accepting new patients

Locations

4910 Randall Pkwy
Ste B
Wilmington, NC 28403
Phone (910) 515-4556

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1760350656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 RANDALL PKWY STE B",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032827",
            "telephone_number": "910-515-4556",
            "fax_number": "910-446-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 RANDALL PKWY STE B",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032827",
            "telephone_number": "910-515-4556",
            "fax_number": "910-446-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "AVA",
        "middle_name": "HELENE",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A22190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCMHCA",
            "identifier": "A22190",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.