Katheryn D. McDonell, CNS-BC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

RN028740 Issued in GA

Practice address

110 Dawn Drive
Fayetteville, GA 30215

Phone

(770) 461-8882

NPI assigned

Jan 25, 2008

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

State licenses

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1174700769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DAWN DRIVE",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30215",
            "telephone_number": "770-461-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DAWN DRIVE",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30215",
            "telephone_number": "770-461-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONELL",
        "first_name": "KATHERYN",
        "middle_name": "D.",
        "credential": "CNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC1247",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "RN028740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley McCullough, RBT
• Lauren Elizabeth McCullough, DPT
• Michael Allen McCullough, PHD, NP-BC, AP-RN
• Kaleya McDaniel, RBT
• Karen Whatley McDonald, MSN, FNP-C
• Arthur Randall McDowell Jr., MD
• Brittney D McGhee, OT
• McGinnis House
• Princess Dionne McGriff, FNP
• McIntosh Trail Community Service Board

• Mental Health Counselor in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.