Active NPI
Michelle M Landenwitch, LPCC, M.ED, ED.S,
- Mental Health Counselor
- Walton, KY
National Provider Identifier
1881990489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1233
- Practice address
- 12885 Frogtown Connector Rd
Walton, KY 41094-8391 - Phone
- (859) 360-1044
- NPI assigned
- Jan 31, 2011
- 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 | 1233 | KY | |
| Mental Health Counselor | 101YM0800X | 1233 | KY | Primary |
Addresses
Primary practice location
12885 Frogtown Connector Rd
Walton, KY 41094-8391
Mailing address
12885 Frogtown Connector Rd
Walton, KY 41094-8391
Phone (859) 360-1044
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1233 | KY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1881990489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12885 FROGTOWN CONNECTOR RD",
"city": "WALTON",
"state": "KY",
"postal_code": "410948391",
"telephone_number": "859-360-1044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12885 FROGTOWN CONNECTOR RD",
"city": "WALTON",
"state": "KY",
"postal_code": "410948391",
"telephone_number": "859-360-1044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDENWITCH",
"first_name": "MICHELLE",
"middle_name": "M",
"credential": "LPCC, M.ED, ED.S,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-31",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "KY",
"license": "1233",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "1233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.