Individual provider Active NPI

Michelle Giannola, LPC

  • Counselor
  • Saint Joseph, MI
National Provider Identifier
1851801088
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1901 Niles Ave Ste 102
Saint Joseph, MI 49085-1615
Phone
(269) 982-7200
Fax
(269) 982-0202
NPI assigned
Oct 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Counselor 101Y00000X Primary

Addresses

Primary practice location

1901 Niles Ave Ste 102
Saint Joseph, MI 49085-1615

Mailing address

2246 Brown School Rd
Saint Joseph, MI 49085-2906
Phone (269) 338-2943

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

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Counseling Center Inc CurrentSince Sep 12, 2021 Accepting new patients
Center for Child Counseling, Inc Past Accepting new patients

Locations

1901 Niles Ave
Ste 102
Saint Joseph, MI 49085
Phone (269) 982-7200

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": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1851801088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 BROWN SCHOOL RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852906",
            "telephone_number": "269-338-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 NILES AVE STE 102",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851615",
            "telephone_number": "269-982-7200",
            "fax_number": "269-982-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNOLA",
        "first_name": "MICHELLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.