Active NPI
Marie Elizabeth McKinley, LPC
- Professional Counselor
- Chillicothe, MO
National Provider Identifier
1063776706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2012019762
- Practice address
- 871 Fairway Drive
Chillicothe, MO 64601 - Phone
- (660) 240-5024
- NPI assigned
- Jun 27, 2012
- Last updated
- Feb 27, 2019
- Sex
- Female
- 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 | 2012019762 | MO | Primary |
Addresses
Primary practice location
871 Fairway Drive
Chillicothe, MO 64601
Mailing address
871 Fairway Drive
Chillicothe, MO 64601
Phone (660) 240-5024
Other practice location 1
109 S 10th St
Lexington, MO 64067-1364
Phone (660) 259-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Mar 26, 2024 through Mar 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012019762 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Counseling & Training LLC | Professional | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Lexington, MO
- NPI 1740582956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551225600000",
"number": "1063776706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 FAIRWAY DRIVE",
"city": "CHILLICOTHE",
"state": "MO",
"postal_code": "64601",
"telephone_number": "660-240-5024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 FAIRWAY DRIVE",
"city": "CHILLICOTHE",
"state": "MO",
"postal_code": "64601",
"telephone_number": "660-240-5024"
}
],
"practiceLocations": [
{
"address_1": "109 S 10th St",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "MO",
"postal_code": "640671364",
"country_code": "US",
"telephone_number": "660-259-3900",
"fax_number": "660-259-9127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKINLEY",
"first_name": "MARIE",
"middle_name": "ELIZABETH",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-27",
"last_updated": "2019-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2012019762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chillicothe, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.