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ANTHONY JAMES MICHAEL LMHC
NPI 1679907026
Counselor in Cedar Falls, IA

Active since August 21, 2013PECOS EnrolledAccepts Medicare Assignment
2802 ORCHARD DR, CEDAR FALLS, IA 50613(319) 268-9700(319) 268-1934 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Anthony James Michael Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY JAMES MICHAEL LMHC (NPI 1679907026) is an individual counselor in Cedar Falls, Iowa, licensed in Iowa (001673) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, is affiliated with Mercyone Waterloo Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1679907026
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameANTHONY JAMES MICHAELCredential: LMHC
Location Address2802 ORCHARD DRCedar Falls, IA 50613-5898
Mailing Address2802 Orchard DrCedar Falls, IA 50613-5898 · (319) 268-9700 · Fax (319) 268-1934
Phone(319) 268-9700
Fax(319) 268-1934
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 21, 2013
Last NPPES UpdateNovember 17, 2021
NPPES CertifiedNovember 17, 2021
✔ NPI 1679907026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IA · 001673
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 001673 (IA)
2802 ORCHARD DR, Cedar Falls, IA 50613
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony James Michael Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537519483
PECOS Enrollment IDI20231219001969
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Anthony Michael reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Covenant Medical Center Inc
4.5 mi
Emergency Medicine
3421 W 9TH ST
Waterloo, IA 50702
  • Reassigned Medicare billing, Iowa enrollment
  • 271 clinicians in this Medicare group
NPI 1528009545 (319) 272-7600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercyone Waterloo Medical Center

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160067
Location3421 West Ninth StreetWaterloo, IA 50702 · Black Hawk County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TRUCE T. ORDONA MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2802 ORCHARD DR
CEDAR FALLS, IA 50613
Black Hawk County (319) 268-9700
RASHID SULTAN CHAUDHRY MD
Psychiatry & Neurology (Psychiatry)
2802 ORCHARD DR
CEDAR FALLS, IA 50613
Black Hawk County (319) 268-9700
JOHN UPSHAW LISW
Social Worker (Clinical)
2802 ORCHARD DR
CEDAR FALLS, IA 50613
Black Hawk County (319) 268-9700
COURTNEY MCKINLEY
Nurse Practitioner (Psychiatric/Mental Health)
2802 ORCHARD DR
CEDAR FALLS, IA 50613
Black Hawk County (319) 268-9700
ANN VERNON LMHC
Psychologist
2802 ORCHARD DR
CEDAR FALLS, IA 50613
Black Hawk County (319) 268-9700
MRS. AMY LYNN MULLER M.S.
Marriage & Family Therapist
2802 ORCHARD DR
CEDAR FALLS, IA 50613
Black Hawk County (319) 268-9700
TRACI M. LUDWIG MSW, LISW, ACSW
Social Worker
2802 ORCHARD DR
CEDAR FALLS, IA 50613
Black Hawk County (319) 268-1922
MR. THOMAS JAY STANFIELD MA, LMHC
Counselor (Mental Health)
2802 ORCHARD DR
CEDAR FALLS, IA 50613
Black Hawk County (319) 268-9700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Michael's NPI number?

The NPI number for Anthony Michael is 1679907026. It was assigned to this individual provider in the NPPES registry on August 21, 2013.

Where is Anthony Michael located?

Anthony Michael practices at 2802 Orchard Dr, Cedar Falls, IA 50613. The listed phone number is (319) 268-9700.

What is Anthony Michael's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Anthony Michael enrolled in Medicare?

Yes. Anthony Michael is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Anthony Michael's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Michael reassigns Medicare benefits to Covenant Medical Center Inc (Waterloo, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Michael's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Michael accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and HealthPartners and 3 other insurers list Anthony Michael as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anthony Michael affiliated with any hospitals?

According to CMS data, Anthony Michael is affiliated with Mercyone Waterloo Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Michael was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.