Mary Angie McGukin, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007595 Issued in GA

Practice address

304 Pierce Ave
Macon, GA 31204-2422

Phone

(478) 751-2206

NPI assigned

May 22, 2012

Sex

Female

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 GA

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, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  GA

  Medicare reassignment

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1023378239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 PIERCE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042422",
            "telephone_number": "478-751-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 PIERCE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042422",
            "telephone_number": "478-751-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUKIN",
        "first_name": "MARY",
        "middle_name": "ANGIE",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn McGehee, LMFT
• Aidreonia McGhee, RBT
• Ryan Galletta McGhee, CRNA
• Lelola Marie McGirt, AGNP-C
• Demetra D McGlothin, CRNA
• Jennell McIntosh, DPT
• Kristopher K McJenkin, MD
• Tamia Dominique McKay
• Dena D McKenna, PAAA
• Dinisha Nechelle McKenzie, CADCII

• Professional Counselor in Macon, GA
• Providers in Macon, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.