MICHELLE DIANNE CANTRELL
NPI 1962836908
Counselor - Mental Health in Pasadena, CA

Q: What is Michelle Cantrell's NPI number?

The NPI number for Michelle Cantrell is 1962836908. It was assigned to this individual provider in the NPPES registry on August 27, 2013.

Q: What is Michelle Cantrell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Michelle Cantrell enrolled in Medicare?

No. Michelle Cantrell has opted out of Medicare through May 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Michelle Cantrell was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 27, 2013Opted out of Medicare · through May 7, 2028

595 E COLORADO BLVD STE 205, PASADENA, CA 91101(571) 969-4393 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michelle Dianne Cantrell NPPES

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

MICHELLE DIANNE CANTRELL (NPI 1962836908) is an individual mental health provider in Pasadena, California, licensed in California (LPCC12896) and active in the NPI registry since August 2013. She has opted out of Medicare through May 7, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962836908

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMICHELLE DIANNE CANTRELL

Location Address595 E COLORADO BLVD STE 205Pasadena, CA 91101-2028

Mailing Address1563 Scenic DrPasadena, CA 91103-1937 · (571) 969-4393

Phone(571) 969-4393

Sole ProprietorYes

Enumeration DateAugust 27, 2013

Last NPPES UpdateOctober 6, 2023

NPPES CertifiedOctober 6, 2023

✔ NPI 1962836908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in CA · LPCC12896✔ Licensed in VA · 0701007352✔ Licensed in DC · PRC200001861

595 E COLORADO BLVD STE 205, Pasadena, CA 91101

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michelle Dianne Cantrell has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 7, 2024 through May 7, 2028.

Opt-Out Effective DateMay 7, 2024

Opt-Out In Effect ThroughMay 7, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

ANGELA ROSE YOUNGS PSY.D.

Psychologist