Individual provider Active NPI

Celina Christina McDonald, LPC-S

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1154627016
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
62447 Issued in TX
Practice address
13625 Pond Springs Rd
Suite 105
Austin, TX 78729
Phone
(512) 576-4150
Fax
(512) 727-7197
NPI assigned
Feb 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X
Professional Counselor 101YP2500X 62447 TX Primary

Addresses

Primary practice location

13625 Pond Springs Rd
Suite 105
Austin, TX 78729

Mailing address

13625 Pond Springs Rd
Suite 105
Austin, TX 78729-4427
Phone (512) 576-4150

Other identifiers 1

IdentifierTypeStateIssuer
218399801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 25, 2025 through Apr 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
62447TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1154627016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13625 POND SPRINGS RD",
            "address_2": "SUITE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787294427",
            "telephone_number": "512-576-4150",
            "fax_number": "512-727-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13625 POND SPRINGS RD",
            "address_2": "SUITE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78729",
            "telephone_number": "512-576-4150",
            "fax_number": "512-727-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "CELINA",
        "middle_name": "CHRISTINA",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218399801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.