Individual provider Active NPI

David Edward Michael, MA, LPC, LPCS

  • Mental Health Counselor
  • Leesville, SC
National Provider Identifier
1760423925
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4355 Issued in SC
Practice address
605 Hallman Wagon Rd
Leesville, SC 29070-8987
Phone
(803) 528-8939
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2023

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 4355 SC Primary

Addresses

Primary practice location

605 Hallman Wagon Rd
Leesville, SC 29070-8987

Mailing address

PO Box 284
Gilbert, SC 29054-0284
Phone (803) 528-8939

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4355SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Counseling Center/Columbia Behavioral Medicine, P.a. Professional PastSince May 10, 2010 Accepting new patients
Columbia Counseling Center and Associates Professional PastSince May 26, 2024 Accepting new patients

Organizations & group practices 2

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1760423925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 284",
            "city": "GILBERT",
            "state": "SC",
            "postal_code": "290540284",
            "telephone_number": "803-528-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HALLMAN WAGON RD",
            "city": "LEESVILLE",
            "state": "SC",
            "postal_code": "290708987",
            "telephone_number": "803-528-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "MA, LPC, LPCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "4355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.