Micah Fleitman, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701009645 Issued in VA

Practice address

175 S Pantops Dr Ste 101
Charlottesville, VA 22911-8673

Phone

(434) 328-1044

NPI assigned

Aug 19, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Electronic endpoints 1

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 and National Provider Directory roles.

• Compassionate Counseling Collective of Virginia, PLLC

  • Professional Counselor
  • Charlottesville, VA
  • NPI 1285392837
  NPD Authorized official
• Fully Human PLLC

  • Professional Counselor
  • Arlington, VA
  • NPI 1164293403
  NPD Authorized official

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1790397925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S PANTOPS DR STE 101",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118673",
            "telephone_number": "434-328-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S PANTOPS DR STE 101",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118673",
            "telephone_number": "434-328-1044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Wilson Blvd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222092490",
            "country_code": "US",
            "telephone_number": "703-239-4424",
            "fax_number": "571-933-4262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEITMAN",
        "first_name": "MICAH",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-19",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701009645",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701009645",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0701009645",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701009645",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-2 ORGANIZATION",
            "identifier": "1285392837",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-2 ORGANIZATION",
            "identifier": "1164293403",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "micahfleitman@CCCV.one",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "175 S Pantops Dr Ste 101",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229118673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Five Star Morningside Charlottesville LLC
• Jennifer Weatherford Fjeseth, MED, LAT, ATC, CES
• Molly Flannagan, MD
• Sean Flannery, PHD
• Anna Flebotte, DPT
• Lester M. Fleming, M.D.
• Mark Fleming II, M.D
• Lance E Flesch, MD
• Arnetta Renee Fletcher, PHD, RDN, LDN
• Mark P. Fletcher, MD

• Professional Counselor in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.