MICHELE RENEE HARVEY (LAC) – Addiction (Substance Use Disorder) Counselor, NPI 1104698497

MICHELE RENEE HARVEY (LAC) is a healthcare provider. based in Colorado springs, Colorado. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LAC. They hold a License No. MFT.0002835 (CO). The NPI Number for MICHELE RENEE HARVEY (LAC) is 1104698497

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MICHELE RENEE HARVEY (LAC)
NPI
1104698497
Phone
(719) 572-6100
Address
1795 JET WING DR
Enumeration Date
30 October 2023
Last Update Date
17 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7195726100
Graduation Year
2008 (18 years ago)
PAC ID
5597109983
Group Practice PAC ID
7719879204
Professional Enrollment ID
I20240213003629
Address ID
CO809162332CO1795XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

2,207 MENTAL HEALTH COUNSELOR in CO

Provider Addresses for MICHELE RENEE HARVEY (LAC)

  • 1795 JET WING DR

    COLORADO SPRINGS, CO 809162332

    Phone: (719) 572-6100

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240213003629IMental Health CounselorCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80916)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719879204View full group profile

Reviews

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Frequently asked questions

Can I cross-check MICHELE RENEE HARVEY (LAC) using NPI 1104698497?
NPI 1104698497 belongs to MICHELE RENEE HARVEY (LAC); compare other details if you need extra assurance.
Would MICHELE RENEE HARVEY (LAC) appear as active to a payer?
You can treat MICHELE RENEE HARVEY (LAC) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MICHELE RENEE HARVEY (LAC)?
MICHELE RENEE HARVEY (LAC) is associated with Addiction (Substance Use Disorder) Counselor in the directory — Clinical services aligned with this taxonomy classification.
Where in Colorado is MICHELE RENEE HARVEY (LAC) registered?
Use Colorado Springs, Colorado as the headline location for MICHELE RENEE HARVEY (LAC) here.
Can I trust this NPI listing for MICHELE RENEE HARVEY (LAC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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