Active NPI
Michael McDonald, MS
- Professional Counselor
- Dayton, OH
National Provider Identifier
1063490209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 548 W Alex Bell Rd
Private Practice
Dayton, OH 45459-3050 - Phone
- (937) 312-1611
- Fax
- (937) 312-1611
- NPI assigned
- Jan 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
548 W Alex Bell Rd
Private Practice
Dayton, OH 45459-3050
Mailing address
548 W Alex Bell Rd
Private Practice
Centerville Finance, OH 45459-3050
Phone (937) 312-1611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M. R. Lighthouse Counseling and Consulting Services, LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Centerville, OH
- NPI 1386036861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1063490209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "548 W ALEX BELL RD",
"address_2": "PRIVATE PRACTICE",
"city": "CENTERVILLE FINANCE",
"state": "OH",
"postal_code": "454593050",
"telephone_number": "937-312-1611",
"fax_number": "937-312-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "548 W ALEX BELL RD",
"address_2": "PRIVATE PRACTICE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454593050",
"telephone_number": "937-312-1611",
"fax_number": "937-312-1611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.