Individual provider Active NPI

Michele Ann Bates, LPC

  • Professional Counselor
  • Cumming, GA
National Provider Identifier
1912470642
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC009628 Issued in GA
Practice address
5345 Chestnut Dr
Cumming, GA 30040-5757
Phone
(740) 590-8238
NPI assigned
Jan 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC009628 GA Primary

Addresses

Primary practice location

5345 Chestnut Dr
Cumming, GA 30040-5757

Mailing address

5345 Chestnut Dr
Cumming, GA 30040-5757
Phone (740) 590-8238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240305002632 CO Practitioner - Mental Health Counselor 3678918232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winds of Change Counseling, LLCGroup PAC ID 9537555826, 4 clinicians

Practice addresses (Care Compare)

3030 S College Ave
Unit 200a
Fort Collins, CO 80525-2557
Phone (970) 315-2293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC009628GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Winds of Change Counseling, LLC CurrentSince Jan 29, 2024 Accepting new patients

Locations

3030 S College Ave
Unit 200A
Fort Collins, CO 80525
Phone (970) 301-8755

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.

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1912470642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 CHESTNUT DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300405757",
            "telephone_number": "740-590-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 CHESTNUT DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300405757",
            "telephone_number": "740-590-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "MICHELE",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.