Michelle Leah Middlekauff

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

5863 Issued in CA

Practice address

40 Coyote Moon Trail
Bangor, CA 95914

Phone

(530) 679-0701

Fax

(530) 679-0705

NPI assigned

May 10, 2019

Last updated

May 10, 2019By 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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elijah House Foundation

  • Substance Abuse Rehabilitation Facility
  • Corning, CA
  • NPI 1760942965

  Addiction (Substance Use Disorder)

  NPD (past)
• Sierra Health and Wellness Centers LLC

  • Substance Abuse Rehabilitation Facility
  • Bangor, CA
  • NPI 1669008876
  NPD (past)

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1861058356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 COYOTE MOON TRAIL",
            "city": "BANGOR",
            "state": "CA",
            "postal_code": "95914",
            "telephone_number": "530-679-0701",
            "fax_number": "530-679-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 COYOTE MOON TRAIL",
            "city": "BANGOR",
            "state": "CA",
            "postal_code": "95914",
            "telephone_number": "530-679-0701",
            "fax_number": "530-679-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLEKAUFF",
        "first_name": "MICHELLE",
        "middle_name": "LEAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "5863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Case Management Transportation
• Alyssa Justine Lohman
• Emily Shenaut Crouser, APCC
• Sierra Health and Wellness Centers
• Sierra Health and Wellness Centers LLC

• Addiction (Substance Use Disorder) Counselor in Bangor, CA
• Providers in Bangor, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.