ANTHONY (MIA) JOEL MIKELIC NPI 1194218123

NPI Information

  • NPI: 1194218123
  • Provider Name: ANTHONY (MIA) JOEL MIKELIC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1103 NE ELM ST
    PRINEVILLE, OR
    ZIP 97754
  • Phone: (541) 323-5330

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NPI Details

Anthony (mia) Joel Mikelic is a mental health counselor in Prineville, OR. Anthony (mia) Joel Mikelic NPI is 1194218123. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1103 NE ELM ST
PRINEVILLE, OR
ZIP 97754-664
Phone: (541) 323-5330
Fax: (541) 447-1121

The enumeration date for this NPI number is 6/13/2018 and was last updated on 6/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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