Michelle Marie Watkins, LMFT, LCAS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1532 Issued in NC

Practice address

1355 E Garrison Blvd Ste a
Gastonia, NC 28054-5143

Phone

(980) 430-9205

Fax

(704) 799-8949

NPI assigned

Sep 10, 2011

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

Enrolled in NC

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

Specialty

Marriage and Family Therapist

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Northern Piedmont Counseling PLLC

  • Mental Health Counselor
  • Mooresville, NC
  • NPI 1740689538

  Marriage & Family Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1315612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1972885598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 EMBERWOOD LN",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281202805",
            "telephone_number": "704-516-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 E GARRISON BLVD STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545143",
            "telephone_number": "980-430-9205",
            "fax_number": "704-799-8949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "549 Cox Rd",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280540628",
            "country_code": "US",
            "telephone_number": "704-865-1558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32 N Main St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "NC",
            "postal_code": "28012",
            "country_code": "US",
            "telephone_number": "980-430-9205",
            "fax_number": "704-799-8949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Overhill Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281178232",
            "country_code": "US",
            "telephone_number": "980-430-9205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "438 E Long Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280543500",
            "country_code": "US",
            "telephone_number": "704-651-5124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMFT, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-10",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-21541",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12492992",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shakura E'Shauna Warren, LCSWA
• Elisha Monay Washington
• Robert Lee Waterhouse Jr., M.D.
• Janice Watkins, LCSWA
• Mai Tuyet Watkins, PA-C
• Rose Watkins, LPN
• William S. Watkins, M.D.
• Caryn S Watson, MBA, RD,LD
• Jacqueline Katrina Watson, MD
• Ann Trippel Watts, FNP-C

• Marriage & Family Therapist in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.