Kelley Ann McCahill, CADC II, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC010647 Issued in GA

Practice address

1875 Fant Dr
Ft Oglethorpe, GA 30742-3307

Phone

(706) 806-1270

Fax

(706) 806-1186

NPI assigned

May 30, 2013

Last updated

Aug 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Lookout Mountain Community Services

  • Community/Behavioral Health Agency
  • La Fayette, GA
  • NPI 1790782431
  Medicare reassignment NPD
• Lookout Mountain Community Services

  • Community/Behavioral Health Agency
  • La Fayette, GA
  • NPI 1386716124
  NPD

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1043657190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 FANT DR",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423307",
            "telephone_number": "706-806-1270",
            "fax_number": "706-806-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 FANT DR",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423307",
            "telephone_number": "706-806-1270",
            "fax_number": "706-806-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAHILL",
        "first_name": "KELLEY",
        "middle_name": "ANN",
        "credential": "CADC II, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-30",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "583",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yissy Coralia Martinez, FNP-C
• Jamie Masyk, BS, DC
• Kelly Matthews, SLP SPEECH THERAPIST
• Angelia Dawson McBee, LPN
• Michael Dorian McBride, M.D.
• Elizabeth Haynes McClure, OTD, OTR/L
• Jason McCurry, CF-SLP
• Hannah Caitlin McKenley
• Erika Joanne McLane, MSN, APRN, FNP-C
• Angela McNabb, COTA

• Professional Counselor in Fort Oglethorpe, GA
• Providers in Fort Oglethorpe, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.