Active NPI
Michele Neace Page, EDD, NCP, LMHC
- Mental Health Counselor
- New Albany, IN
National Provider Identifier
1912211640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39000847A
- Practice address
- 2525 Charlestown Rd
Fairmont Neighborhood Center
New Albany, IN 47150-2556 - Phone
- (502) 548-2051
- Fax
- (812) 941-5239
- NPI assigned
- Aug 5, 2010
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39000847A | IN | Primary |
Addresses
Primary practice location
2525 Charlestown Rd
Fairmont Neighborhood Center
New Albany, IN 47150-2556
Mailing address
2525 Charlestown Road
Fairmont Neighborhood Center
New Albany, IN 47150
Phone (502) 548-2051
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 |
|---|---|---|---|
| 39000847A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rauch Inc. | 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 and National Provider Directory roles.
-
- Early Intervention Provider Agency
- New Albany, IN
- NPI 1114197175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1912211640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 CHARLESTOWN ROAD",
"address_2": "FAIRMONT NEIGHBORHOOD CENTER",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "47150",
"telephone_number": "502-548-2051",
"fax_number": "812-941-5239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 CHARLESTOWN RD",
"address_2": "FAIRMONT NEIGHBORHOOD CENTER",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471502556",
"telephone_number": "502-548-2051",
"fax_number": "812-941-5239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGE",
"first_name": "MICHELE",
"middle_name": "NEACE",
"name_prefix": "Dr.",
"credential": "EDD, NCP, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-05",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39000847A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.