Active NPI
Michaele Ann Conners, LPC
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1922316306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8161
- Practice address
- 11205 Quiet Wood CT
Charlotte, NC 28277-8855 - Phone
- (704) 650-2161
- NPI assigned
- Sep 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 8161 | NC | Primary |
Addresses
Primary practice location
11205 Quiet Wood CT
Charlotte, NC 28277-8855
Mailing address
11205 Quiet Wood CT
Charlotte, NC 28277-8855
Phone (704) 650-2161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6104657 | Medicaid | NC |
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 |
|---|---|---|---|
| 8161 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1922316306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11205 QUIET WOOD CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282778855",
"telephone_number": "704-650-2161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11205 QUIET WOOD CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282778855",
"telephone_number": "704-650-2161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNERS",
"first_name": "MICHAELE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-19",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "8161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6104657",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.