Jill Louise McCarthy-Mitchell, MA,LLP,LMFT

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6361005154 Issued in MI

Practice address

6548 Town Center Dr Ste D
Clarkston, MI 48346-4823

Phone

(248) 460-9731

NPI assigned

Jun 5, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Oakland Psychological Clinic, P.C.

  • Clinical Social Worker
  • Lansing, MI
  • NPI 1538810080
  NPD (past)
• Richard Kneip, PH.D., P.C.

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1063614543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 PERRY LAKE RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483482950",
            "telephone_number": "248-505-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6548 TOWN CENTER DR STE D",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464823",
            "telephone_number": "248-460-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY-MITCHELL",
        "first_name": "JILL",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "MA,LLP,LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301009105",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361005154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlene Mazo
• Kelly Mazur, LMSW
• Natalie Marie McBryde
• Brandi McCadney, LLMSW
• Janna McCann
• Jennifer McCarty, DDS
• Ava Nicole McChesney, BEHAVIOR TECHNICIAN
• Jo Ann McClain, OT
• Kim McCleary
• Gail Cooper McClellan, A.T.,C

• Psychologist in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.