Active NPI
Michelle Ann Downey
- Professional Counselor
- Seymour, IN
National Provider Identifier
1881883767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 345975
- Practice address
- 1505 S Walnut St
Seymour, IN 47274-3276 - Phone
- (812) 522-1440
- NPI assigned
- Oct 17, 2007
- Last updated
- Oct 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 15348131 | WI | |
| Professional Counselor | 101YP2500X | 345975 | KY | Primary |
Addresses
Primary practice location
1505 S Walnut St
Seymour, IN 47274-3276
Mailing address
712 S Walnut St
Seymour, IN 47274-2924
Phone (920) 248-2640
Other practice location 1
2266 N Prospect Ave
4th Floor
Milwaukee, WI 53211
Phone (414) 962-1200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39178400 | Medicaid | WI | |
| 15348131 | Other | WI | DEPT OF REGULATION LIC |
Other names 1
- Ms. Michelle Ann Klinker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
504 N Walnut St
Seymour, IN 47274-1537
Phone (812) 671-8704
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15348131 | WI | MD | Counselor |
| 345975 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concordia Counseling: a Lutheran Outreach Ministry, Inc. | Current | Accepting new patients |
Locations
504 N Walnut St
Seymour, IN 47274
Phone (812) 671-8704
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Seymour, IN
- NPI 1568150068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603584000000",
"number": "1881883767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 S WALNUT ST",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742924",
"telephone_number": "920-248-2640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 S WALNUT ST",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472743276",
"telephone_number": "812-522-1440"
}
],
"practiceLocations": [
{
"address_1": "2266 N Prospect Ave",
"address_2": "4th Floor",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "53211",
"country_code": "US",
"telephone_number": "414-962-1200",
"fax_number": "414-962-2305",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOWNEY",
"first_name": "MICHELLE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-17",
"last_updated": "2020-10-25",
"certification_date": "2020-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "15348131",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "345975",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39178400",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF REGULATION LIC",
"identifier": "15348131",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "KLINKER",
"middle_name": "ANN",
"prefix": "MS.",
"credential": "SAC, LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Seymour, IN
- Don R Downing J D Roberts & D Barry Downing PTRS
- Donald a. Cummings, D.D.S., P.C. (Jackson County Dental)
- Taylor Abigail Donoho, PA
- Gregory Thomas Dougan, PA-C
- Dawn A Doup, PSY.D.
- Downing Optometrist PC
- Donn Barry Downing, OD
- Dr. Linda Fischer & Associates Inc.
- Brittany Drawbaugh, LMHC
- Lynnelle Driver, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.