Active NPI
Michon Lubbers, MA, LPC
- Mental Health Counselor
- Fort Lauderdale, FL
National Provider Identifier
1770713331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11311
- Practice address
- 14 Seneca Road
Fort Lauderdale, FL 33308 - Phone
- (303) 507-6426
- NPI assigned
- Jul 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4422 | CO | |
| Mental Health Counselor | 101YM0800X | 11311 | FL | Primary |
Addresses
Primary practice location
14 Seneca Road
Fort Lauderdale, FL 33308
Mailing address
14 Seneca Road
Fort Lauderdale, FL 33308
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4422 | CO | MD | Counselor |
| 11311 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382572800000",
"number": "1770713331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 SENECA ROAD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 SENECA ROAD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33308",
"telephone_number": "303-507-6426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBBERS",
"first_name": "MICHON",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-16",
"last_updated": "2013-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "4422",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "11311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.