Active NPI
Michele L. G. Christman, LMFT
- Marriage & Family Therapist
- Wyomissing, PA
National Provider Identifier
1972986867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MF000717
- Practice address
- 4 Park PLZ
Wyomissing, PA 19610 - Phone
- (610) 777-0705
- NPI assigned
- Jul 9, 2015
- Last updated
- Mar 12, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Marriage & Family Therapist | 106H00000X | MF000717 | PA | Primary |
Addresses
Primary practice location
4 Park PLZ
Wyomissing, PA 19610
Mailing address
4 Park PLZ Ste 204B
Wyomissing, PA 19610-1398
Phone (484) 877-0038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MF000717 | Other | PA | COMMONWEALTH OF PA DEPT. OF STATE BUREAU OF PROFESSIONAL & OCCUPATIONAL AFFAIRS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240919002717 | PA | Practitioner - Marriage and Family Therapist | 0648711416 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1972986867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 PARK PLZ STE 204B",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196101398",
"telephone_number": "484-877-0038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 PARK PLZ",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "19610",
"telephone_number": "610-777-0705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTMAN",
"first_name": "MICHELE",
"middle_name": "L. G.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-09",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF000717",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF PA DEPT. OF STATE BUREAU OF PROFESSIONAL & OCCUPATIONAL AFFAIRS",
"identifier": "MF000717",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.