MICHELLE PROTKO (LMHC) – Mental Health Counselor, NPI 1497192504

MICHELLE PROTKO (LMHC) is a healthcare provider. based in Daytona beach, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LMHC. They hold a License No. MH13799 (FL). The NPI Number for MICHELLE PROTKO (LMHC) is 1497192504

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE PROTKO (LMHC)
NPI
1497192504
Phone
(385) 425-3945
Address
841 JIMMY ANN DR
Enumeration Date
30 May 2013
Last Update Date
19 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862581618
Graduation Year
2013 (13 years ago)
PAC ID
2466898986
Group Practice PAC ID
8325370950
Professional Enrollment ID
I20240306004326
Address ID
FL327203429DE121XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for MICHELLE PROTKO (LMHC)

  • 841 JIMMY ANN DR

    DAYTONA BEACH, FL 321174583

    Phone: (385) 425-3945

    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: 2024-03-06

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
I20240306004326IMental Health CounselorFLTBD

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 32117)

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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: 8325370950View full group profile
NameSpecialtyState
Mental Health CounselorFL
Clinical Social WorkerFL
Mental Health CounselorFL
Clinical Social WorkerFL
-RI
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorFL

Reviews

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Frequently asked questions

What federal number belongs to MICHELLE PROTKO (LMHC)?
The federal identifier for MICHELLE PROTKO (LMHC) is NPI 1497192504.
Is MICHELLE PROTKO (LMHC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MICHELLE PROTKO (LMHC) work in?
You can think of MICHELLE PROTKO (LMHC) as practicing within Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What location metadata exists for MICHELLE PROTKO (LMHC)?
The page summarizes Daytona Beach, Florida for MICHELLE PROTKO (LMHC); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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