Michelle Espinoza, LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MH4531 Issued in FL

Practice address

151 Mary Esther Blvd
Ste 408
Mary Esther, FL 32569

Phone

(850) 226-7322

Fax

(850) 226-7491

NPI assigned

Feb 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Florida Psychological Services, P.a.

  • Psychologist
  • Mary Esther, FL
  • NPI 1881908689
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1952375933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 BOULDER ST",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "32536",
            "telephone_number": "850-226-7322",
            "fax_number": "850-226-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MARY ESTHER BLVD",
            "address_2": "STE 408",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "32569",
            "telephone_number": "850-226-7322",
            "fax_number": "850-226-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOZA",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 4531",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH4531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761888300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanaire Moya Edwards
• Kaitlyn Eigenbrode, RD,LDN
• Rana Elkassih, PA-C
• Emerald Coast Counseling & Associates
• Emerald Coast Psychiatric Care PA
• Leonard William Fabian III, D.C.
• Dina Anne Farmer
• Bradyn Harrison Flanagin
• Florida Kids Ppec, LLC
• Christine Fortis, RBT

• Counselor in Mary Esther, FL
• Providers in Mary Esther, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.

Verify at the official NPI Registry.