Individual provider Active NPI

Ellen Michel, LPC

  • Professional Counselor
  • Covington, LA
National Provider Identifier
1932564341
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2000 Preserve Lake Dr Ste D
Covington, LA 70433-5340
Phone
(985) 205-1441
Fax
(985) 303-2763
NPI assigned
Dec 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LA
Professional Counselor 101YP2500X LA Primary

Addresses

Primary practice location

2000 Preserve Lake Dr Ste D
Covington, LA 70433-5340

Mailing address

737 English Oak Dr
Madisonville, LA 70447-3181
Phone (504) 813-8894

Other identifiers 1

IdentifierTypeStateIssuer
1548839MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20241101000570 LA Practitioner - Mental Health Counselor 3173056983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Preserve Lake Dr
Suite D
Covington, LA 70433-5340
Phone (985) 205-1441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shield of Hope Counseling, LLC Professional CurrentSince Sep 15, 2024 Accepting new patients
Northshore Family Counseling, LLC Past Accepting new patients

Locations

2000 Preserve Lake Dr
Ste D
Covington, LA 70433
Phone (985) 205-1441

Organizations & group practices 2

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": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1932564341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 ENGLISH OAK DR",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473181",
            "telephone_number": "504-813-8894",
            "fax_number": "985-303-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PRESERVE LAKE DR STE D",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335340",
            "telephone_number": "985-205-1441",
            "fax_number": "985-303-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "ELLEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548839",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.