Look up the most recent NPI and PECOS records

Michelle Lange

Counselor

Behavioral Health & Social Service Providers

2445 Fire Mesa St, Las Vegas, NV 89128-9014

PECOS Enrollment

Based on the most recent information from CMS, provider Michelle Lange is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1740916154
Provider Type
Individual
Full Name
Lange, Michelle
Credential
LCPC

Gender
Female
Sole Proprietor
No
Enumeration Date
7/27/2022
Last Updated
1/11/2025

Contact Information

Practice Location

2445 Fire Mesa St, Las Vegas, NV 89128-9014

(702) 456-4262

Unlisted Fax

Mailing Location

7816 Picnic St, Las Vegas, NV 89131-8264

(702) 882-6253

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License CP5845 Nevada

Michelle Lange

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Flores Martinez, Stefany Patricia

Walker, Shakonda Sheriee

Whitley, Louis

Holland, Jason Michael

Cruz, Wascar

Walker, Dominique James

Kalp, Gayla

Elam, Tiffany

Mason, Dorlisa

Lane, Brandon S