Individual provider Active NPI

Demetria J McCann, LPC

  • Professional Counselor
  • Round Rock, TX
National Provider Identifier
1164778601
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2120 N Mays St
Suite 490
Round Rock, TX 78664
Phone
(512) 341-8908
Fax
(512) 255-8521
NPI assigned
Aug 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

2120 N Mays St
Suite 490
Round Rock, TX 78664

Mailing address

2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address demetria.mccann.p1@direct.lscctx.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231128001411 TX Practitioner - Mental Health Counselor 6406204734 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Circle of Care CurrentSince Jan 1, 2024 Accepting new patients
Lone Star Circle of Care Professional Current Accepting new patients
Lone Star Circle of Care CurrentSince Jan 1, 2024 Accepting new patients
Lone Star Circle of Care Past Accepting new patients

Locations

1221 W Ben White Blvd
Ste 200B
Austin, TX 78704
Phone (512) 524-9249

2423 Williams Dr
Ste 107
Georgetown, TX 78628
Phone (512) 686-0207

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908

205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207

2120 N Mays St
Ste 430
Round Rock, TX 78664
Phone (512) 255-5120

Interoperability endpoints

  • Direct secure messaging: demetria.mccann.1@29821.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1164778601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283269",
            "telephone_number": "877-800-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N MAYS ST",
            "address_2": "SUITE 490",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78664",
            "telephone_number": "512-341-8908",
            "fax_number": "512-255-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "DEMETRIA",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "demetria.mccann.p1@direct.lscctx.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2120 N Mays St",
            "address_2": "Suite 490",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.