MICHELLE NIRENBERG (LPC) – Professional Counselor, NPI 1902227457

MICHELLE NIRENBERG (LPC) is a healthcare provider. based in Waycross, Georgia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. LPC007141 (GA). The NPI Number for MICHELLE NIRENBERG (LPC) is 1902227457

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE NIRENBERG (LPC)
NPI
1902227457
Phone
(912) 288-3579
Address
802 VINE ST
Enumeration Date
31 December 2013
Last Update Date
23 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7328524977
Graduation Year
2014 (12 years ago)
PAC ID
1456701937
Group Practice PAC ID
0749458420
Professional Enrollment ID
I20231225000011
Address ID
NJ087537443TO505XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:12State licenses:3Digital endpointsOther names

1,228 MENTAL HEALTH COUNSELOR in GA

Provider Addresses for MICHELLE NIRENBERG (LPC)

  • 802 VINE ST

    WAYCROSS, GA 315013128

    Phone: (912) 288-3579

    Type: Mailing

  • 802 Vine St

    Waycross, GA 315013128

    Phone: (912) 288-3579

    Type: Location

  • 117 HIGHWAY 35 STE 2

    EATONTOWN, NJ 077241886

    Phone: (630) 884-9012

    Type: Mailing

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: 2023-12-25

PECOS data refreshed: 2026-06-15

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
I20231225000011IMental Health CounselorNJTBD

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 31501)

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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: 0749458420View full group profile
NameSpecialtyState
Clinical PsychologistPA
Mental Health CounselorOH
Clinical Social WorkerGA
Mental Health CounselorPA
Mental Health CounselorGA
Mental Health CounselorOH
Clinical Social WorkerPA
Mental Health CounselorMA
Nurse PractitionerOH
Clinical Social WorkerMD

Reviews

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Frequently asked questions

Can I use this page to confirm MICHELLE NIRENBERG (LPC)'s NPI?
Yes. MICHELLE NIRENBERG (LPC) is listed with NPI 1902227457 in the public NPI dataset.
Does the file indicate MICHELLE NIRENBERG (LPC) is practicing under active NPI?
Directory data currently reports MICHELLE NIRENBERG (LPC) as active.
What is MICHELLE NIRENBERG (LPC) best known for clinically?
Directory data describes MICHELLE NIRENBERG (LPC) with Professional Counselor. Clinical services aligned with this taxonomy classification.
Where is MICHELLE NIRENBERG (LPC) based?
MICHELLE NIRENBERG (LPC) is tied to Waycross, Georgia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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