Active NPI
Michaela Brandell, MSW, LSW
- Professional Counselor
- Hickory, NC
National Provider Identifier
1912137571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 150.012002
- Practice address
- 101 Government Ave SW
Hickory, NC 28602-2936 - Phone
- (828) 315-7700
- NPI assigned
- Jul 16, 2009
- Last updated
- Jul 16, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 150.012002 | IL | Primary |
Addresses
Primary practice location
101 Government Ave SW
Hickory, NC 28602-2936
Mailing address
16501 Red Cliff Dr
Apartment 2H
Huntersville, NC 28078-3873
Phone (828) 315-7718
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
| License | State | Type | Specialty |
|---|---|---|---|
| 150.012002 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Villages | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Hickory, NC
- NPI 1245504711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247702400000",
"number": "1912137571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16501 RED CLIFF DR",
"address_2": "APARTMENT 2H",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280783873",
"telephone_number": "828-315-7718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 GOVERNMENT AVE SW",
"city": "HICKORY",
"state": "NC",
"postal_code": "286022936",
"telephone_number": "828-315-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDELL",
"first_name": "MICHAELA",
"credential": "MSW, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-16",
"last_updated": "2009-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "150.012002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.