Individual provider Active NPI

Michelle Patricia McHenry, LPC W/ SA SPEC

  • Professional Counselor
  • La Crosse, WI
National Provider Identifier
1891940870
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5512-125 Issued in WI
Practice address
700 3Rd St N
Suite 205
Lacrosse, WI 54601-9303
Phone
(608) 782-1400
Fax
(608) 782-1002
NPI assigned
Nov 18, 2008
Last updated
Jan 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 5512-125 WI
Professional Counselor 101YP2500X 5512-125 WI Primary
Clinical Social Worker 1041C0700X 9720-120 WI

Addresses

Primary practice location

700 3Rd St N
Suite 205
Lacrosse, WI 54601-9303

Mailing address

700 3Rd St N Ste 205
La Crosse, WI 54601-3288
Phone (608) 782-1400

Other identifiers 1

IdentifierTypeStateIssuer
100044381MedicaidWI

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

State licenses

LicenseStateTypeSpecialty
5512-125WIMDProfessional Counselor
9720-120WIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1891940870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 3RD ST N STE 205",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013288",
            "telephone_number": "608-782-1400",
            "fax_number": "608-782-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 3RD ST N",
            "address_2": "SUITE 205",
            "city": "LACROSSE",
            "state": "WI",
            "postal_code": "546019303",
            "telephone_number": "608-782-1400",
            "fax_number": "608-782-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHENRY",
        "first_name": "MICHELLE",
        "middle_name": "PATRICIA",
        "credential": "LPC W/ SA SPEC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "5512-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5512-125",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9720-120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100044381",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.