Individual provider Active NPI

Michelle Hanrahan Ellwanger, LPC

  • Professional Counselor
  • Hickory, NC
National Provider Identifier
1932319290
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
NCBLPC #5474 Issued in NC
Practice address
42 3Rd St NW
Hickory, NC 28601-6135
Phone
(704) 462-4200
Fax
(704) 462-4204
NPI assigned
May 23, 2007
Last updated
Aug 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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 NCBLPC #5474 NC Primary

Addresses

Primary practice location

42 3Rd St NW
Hickory, NC 28601-6135

Mailing address

42 3Rd St NW
Hickory, NC 28601-6135
Phone (704) 462-4200

Other identifiers 2

IdentifierTypeStateIssuer
CERTIFICATE #90520OtherNCNBCC
LICENSE #5474OtherNYNCBLPC

Other names 1

  • Michelle Hanrahan Former name

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
NCBLPC #5474NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1932319290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 3RD ST NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016135",
            "telephone_number": "704-462-4200",
            "fax_number": "704-462-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 3RD ST NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016135",
            "telephone_number": "704-462-4200",
            "fax_number": "704-462-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLWANGER",
        "first_name": "MICHELLE",
        "middle_name": "HANRAHAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "NCBLPC #5474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCC",
            "identifier": "CERTIFICATE #90520",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBLPC",
            "identifier": "LICENSE #5474",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HANRAHAN",
            "credential": "MA, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 6, 2012; 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.