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MR. MICHAEL W. NETTLES
NPI 1962750257
Counselor - Professional in Capitol Heights, MD

Active since August 17, 2012PECOS Enrolled
1858 ROCHELLE AVE, CAPITOL HEIGHTS, MD 20743(202) 247-1999(301) 513-0181 Get Directions Write a Review

NPPES record last updated: August 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael W. Nettles NPPES

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

MR. MICHAEL W. NETTLES (NPI 1962750257) is an individual professional provider in Capitol Heights, Maryland, licensed in Maryland (LC4560) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962750257
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. MICHAEL W. NETTLES
Location Address1858 ROCHELLE AVECapitol Heights, MD 20743-4306
Mailing Address5206 Mineola RdCollege Park, MD 20740-4612 · (202) 247-1999 · Fax (301) 513-0181
Phone(202) 247-1999
Fax(301) 513-0181
Sole ProprietorYes
Enumeration DateAugust 17, 2012
✔ NPI 1962750257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in MD · LC4560✔ Licensed in DC · PRC14104
1858 ROCHELLE AVE, Capitol Heights, MD 20743
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Other Names 1

Former Name (1)Mr. Michael W. Nettles Lpc/lcpc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael W. Nettles is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Michael Nettles's NPI number?

The NPI number for Michael Nettles is 1962750257. It was assigned to this individual provider in the NPPES registry on August 17, 2012. The provider is also known as Mr. Michael W. Nettles Lpc/Lcpc.

Where is Michael Nettles located?

Michael Nettles practices at 1858 Rochelle Ave, Capitol Heights, MD 20743. The listed phone number is (202) 247-1999.

What is Michael Nettles's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Michael Nettles enrolled in Medicare?

Yes. Michael Nettles is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Nettles was last updated on August 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.