Matthew McKinley, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.2102291 Issued in OH

Practice address

17648 Eastbrook TRL
Chagrin Falls, OH 44023-5660

Phone

(440) 497-0658

NPI assigned

Dec 7, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• McKinley Counseling LLC

  • Mental Health Counselor
  • Chagrin Falls, OH
  • NPI 1073495321
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662768000000",
    "number": "1013422476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17648 EASTBROOK TRL",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440235660",
            "telephone_number": "440-497-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17648 EASTBROOK TRL",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440235660",
            "telephone_number": "440-497-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-07",
        "last_updated": "2022-09-10",
        "certification_date": "2022-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2102291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri L. McClurg, PSY.D.
• Anita McElrath
• Linda K McGraw, PHD
• Jane McKelvey, M.A., A.T.R.
• McKinley Counseling LLC
• Meadow Falls Chagrin Opco LLC
• Susanne C. Meaney, ARNP
• Medical and Psychiatric & Consulting Services, LLC
• Marj Melchreit, LISW-S
• Karl V. Metz, M.D.

• Mental Health Counselor in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.