Active NPI
Michelle L Merello, LPC
- Professional Counselor
- Shreveport, LA
National Provider Identifier
1972811529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3564
- Practice address
- 458 Herndon St
Shreveport, LA 71101-4859 - Phone
- (318) 213-1884
- NPI assigned
- Sep 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3564 | LA | Primary |
Addresses
Primary practice location
458 Herndon St
Shreveport, LA 71101-4859
Mailing address
379 Harris Rd
Keatchie, LA 71046-2931
Phone (318) 294-3380
Other practice location 1
379 Harris Rd
Keatchie, LA 71046-2931
Phone (318) 294-3380
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
650 Poydras St
Suite 1400
New Orleans, LA 70130-6116
Phone (800) 567-5433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3564 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Life Inc. | Current | Accepting new patients | |
| Total Life FL PA | Current | Accepting new patients |
Locations
110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690
650 Poydras St
Ste 1400
New Orleans, LA 70130
Phone (855) 235-2872
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": "1284595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1972811529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "379 HARRIS RD",
"city": "KEATCHIE",
"state": "LA",
"postal_code": "710462931",
"telephone_number": "318-294-3380",
"fax_number": "844-753-5185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "458 HERNDON ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014859",
"telephone_number": "318-213-1884"
}
],
"practiceLocations": [
{
"address_1": "379 Harris Rd",
"address_purpose": "LOCATION",
"city": "Keatchie",
"state": "LA",
"postal_code": "710462931",
"country_code": "US",
"telephone_number": "318-294-3380",
"fax_number": "844-753-5185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERELLO",
"first_name": "MICHELLE",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-16",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "3564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.