Michelle Denise Stangline, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC004703 Issued in GA

Practice address

11582 Big Canoe
227 Gadalutsee Pass
Jasper, GA 30143

Phone

(404) 518-1622

NPI assigned

Sep 22, 2021

Last updated

Sep 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1871264671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11582 BIG CANOE",
            "address_2": "227 GADALUTSEE PASS",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "30143",
            "telephone_number": "404-518-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11582 BIG CANOE",
            "address_2": "227 GADALUTSEE PASS",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "30143",
            "telephone_number": "404-518-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANGLINE",
        "first_name": "MICHELLE",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Comcast",
            "affiliation": "N",
            "endpointDescription": "Home Internet Service",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Comcast",
            "address_1": "11582 Big Canoe",
            "address_2": "227 Gadalutsee Pass",
            "city": "Jasper",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Jasper, GA
• Providers in Jasper, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.