Individual provider Active NPI

Michelle Prince Lukse, LPC, PHD

  • Counselor
  • Charlotte, NC
National Provider Identifier
1972502821
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
NC LPC 964 Issued in NC
Practice address
4401 Colwick Rd
Suite 705
Charlotte, NC 28211-2349
Phone
(704) 362-0099
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NC LPC 964 NC Primary

Addresses

Primary practice location

4401 Colwick Rd
Suite 705
Charlotte, NC 28211-2349

Mailing address

10818 Kenderly CT
Charlotte, NC 28277-2122
Phone (704) 542-6565

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
NC LPC 964NCMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972502821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10818 KENDERLY CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772122",
            "telephone_number": "704-542-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 COLWICK RD",
            "address_2": "SUITE 705",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112349",
            "telephone_number": "704-362-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKSE",
        "first_name": "MICHELLE",
        "middle_name": "PRINCE",
        "name_prefix": "Dr.",
        "credential": "LPC, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "NC LPC 964",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 13, 2026; 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.