Individual provider Active NPI

Michelle Ann Downey

  • Professional Counselor
  • Seymour, IN
National Provider Identifier
1881883767
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
345975 Issued in KY
Practice address
1505 S Walnut St
Seymour, IN 47274-3276
Phone
(812) 522-1440
NPI assigned
Oct 17, 2007
Last updated
Oct 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
39178400MedicaidWI
15348131OtherWIDEPT OF REGULATION LIC

Other names 1

  • Ms. Michelle Ann Klinker Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250423001887 IN Practitioner - Mental Health Counselor 9638608094 Reassigns benefits to 1 organization

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
Concordia Counseling a Lutheran Outreach Ministry IncGroup PAC ID 7810426277, 3 clinicians

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

LicenseStateTypeSpecialty
15348131WIMDCounselor
345975KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Concordia Counseling: a Lutheran Outreach Ministry, Inc. CurrentSince Apr 8, 2025 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.

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

Sources for this page

Verify at the official NPI Registry.