MS. MICHELLE BETH SUPPLE LMHC NPI 1992804421

NPI Information

NPI: 1992804421
Provider Name: MS. MICHELLE BETH SUPPLE, LMHC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
200 EAST MAIN ST
MILFORD, MA
ZIP 01757
Phone: (508) 634-1877
Get Directions

MS. Michelle Beth Supple, LMHC is an addiction (substance use disorder) counselor in Milford, MA. MS. Michelle Beth Supple, LMHC NPI is 1992804421. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 EAST MAIN ST
MILFORD, MA
ZIP 01757
Phone: (508) 634-1877
Fax: (508) 634-1878

The NPI 1992804421 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 3/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	6080	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2220002001	OTHER	MASSACHUSETTS	BCBS MA SA
2	1308785	OTHER	MASSACHUSETTS	MCD MH
3	M18684	OTHER		BCBS MH
4	1306421	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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