Michelle Dianne Cantrell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

595 E Colorado Blvd Ste 205
Pasadena, CA 91101-2028

Phone

(571) 969-4393

NPI assigned

Aug 27, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 7, 2024 through May 7, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Center for Growth and Connection, a Professional Clinical Counselor Corporation

  • Mental Health Counselor
  • Pasadena, CA
  • NPI 1891667002
  NPD Authorized official
• Michelle Cantrell Licensed Professional Clinical Counseling Inc

  • Mental Health Counselor
  • Pasadena, CA
  • NPI 1225883358
  NPD Authorized official

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1962836908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 SCENIC DR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031937",
            "telephone_number": "571-969-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 205",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012028",
            "telephone_number": "571-969-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "MICHELLE",
        "middle_name": "DIANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC12896",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007352",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PRC200001861",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canopy Healing Center and Acupuncture Clinic Inc.
• Sandra Patricia Canote, LPCC
• Earl A Canson III, M.D, MPH
• Samantha Raelyn Canter, LMFT
• David Cantor, MD
• Canyon Vista Healthcare Medical Corporation
• Minh-Tri Cao, NP
• Kalvin Cory Caoile
• Angela L Capellupo, PA-C
• Capital Health Care Corporation

• Mental Health Counselor in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.