Active NPI
Michelle D. Harrison, L.M.H.C.-LICENSED ME
- Mental Health Counselor
- Pensacola, FL
National Provider Identifier
1821214453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH6295
- Practice address
- 1576 Airport Blvd.
Pensacola, FL 32504-8661 - Phone
- (850) 436-6412
- Fax
- (850) 436-6414
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH6295 | FL | Primary |
Addresses
Primary practice location
1576 Airport Blvd.
Pensacola, FL 32504-8661
Mailing address
1576 Airport Blvd.
Pensacola, FL 32504-8661
Phone (850) 478-3888
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 Engineering
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH6295 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339459200000",
"number": "1821214453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1576 AIRPORT BLVD.",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048661",
"telephone_number": "850-478-3888",
"fax_number": "850-478-0914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1576 AIRPORT BLVD.",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048661",
"telephone_number": "850-436-6412",
"fax_number": "850-436-6414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "MICHELLE",
"middle_name": "D.",
"name_prefix": "Ms.",
"credential": "L.M.H.C.-LICENSED ME",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2012-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH6295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.