MEDICARE: MRS. MICHELLE ANN RIEHN MA, LPC, NCC, RPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	2000152560	MO
2	101YP2500X	Professional Counselor	2000152560	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568429553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE ANN RIEHN MA, LPC, NCC, RPT

Provider Business Mailing Address
First Line	:	106 S FARRAR DR
Second Line	:
City	:	CAPE GIRARDEAU
State	:	MO
Zip	:	63701-4902
Country	:	US
Telephone Number	:	573-334-7285
Fax Number	:	573-334-7961

Provider Business Practice Location Address
First Line	:	106 S FARRAR DR
Second Line	:
City	:	CAPE GIRARDEAU
State	:	MO
Zip	:	63701-4902
Country	:	US
Telephone Number	:	573-334-7285
Fax Number	:	573-334-7961

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	03/20/2019

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