Michele C Bandoo, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401008507 Issued in MI

Practice address

2122 15 Mile Rd
Suite B
Sterling Heights, MI 48310-4853

Phone

(586) 713-4205

NPI assigned

Feb 21, 2011

Last updated

Feb 21, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Interoperability endpoints

• Direct secure messaging: mbandoo376466@direct.hfhs.org

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1780981191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 15 MILE RD",
            "address_2": "SUITE B",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104853",
            "telephone_number": "586-713-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 15 MILE RD",
            "address_2": "SUITE B",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104853",
            "telephone_number": "586-713-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDOO",
        "first_name": "MICHELE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-21",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401008507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josh Patrick Teodoro Balisi
• Thomas Ball Jr., DPM
• Anthony Bally, MD
• Laial Fawaz Baltaji, MD
• Maria Teresa Trongco Bancolita-Cook, PT
• Bianca Banks, NP
• Jasmine C Banks
• Elie Banna, MD
• Arnold Edward Bansen, D.D.S.
• Sylvina Latif Barash

• Mental Health Counselor in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.