Individual provider Active NPI

Nancy Jo McMall, LPC

  • Mental Health Counselor
  • Lansing, MI
National Provider Identifier
1174741888
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401004047 Issued in MI
Practice address
3815 W Saint Joseph St
Suite a-400
Lansing, MI 48917-3666
Phone
(517) 749-4440
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401004047 MI Primary

Addresses

Primary practice location

3815 W Saint Joseph St
Suite a-400
Lansing, MI 48917-3666

Mailing address

3815 W Saint Joseph St
Suite a-400
Lansing, MI 48917-3666
Phone (517) 749-4440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401004047MIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1174741888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 W SAINT JOSEPH ST",
            "address_2": "SUITE A-400",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489173666",
            "telephone_number": "517-749-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 W SAINT JOSEPH ST",
            "address_2": "SUITE A-400",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489173666",
            "telephone_number": "517-749-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMALL",
        "first_name": "NANCY",
        "middle_name": "JO",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401004047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.