Organization Active NPI

McKinley Counseling LLC

  • Mental Health Counselor
  • Chagrin Falls, OH
National Provider Identifier
1073495321
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MCKINLEY COUNSELING LLC
Practice address
17648 Eastbrook TRL
Chagrin Falls, OH 44023-5660
Phone
(440) 497-0658
NPI assigned
Jul 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Matthew McKinley, LPCCNPI 1013422476
Title
LPCC
Phone
(440) 497-0658

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

17648 Eastbrook TRL
Chagrin Falls, OH 44023-5660

Mailing address

17648 Eastbrook TRL
Chagrin Falls, OH 44023-5660
Phone (440) 497-0658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250904002678 OH Part B Supplier - Clinic/Group Practice 6103328695 Receives reassigned benefits from 1 practitioner
Practice locations: Chagrin Falls, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1073495321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17648 EASTBROOK TRL",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440235660",
            "telephone_number": "440-497-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17648 EASTBROOK TRL",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440235660",
            "telephone_number": "440-497-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINLEY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "MCKINLEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "LPCC",
        "authorized_official_telephone_number": "440-497-0658",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.