Active NPI
Elizabeth Joy McKeown, M.A.
- Mental Health Counselor
- Marietta, GA
National Provider Identifier
1194256073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1640 Powers Ferry Rd SE
BLDG 16, Ste 100
Marietta, GA 30067-5491 - Phone
- (678) 561-6919
- NPI assigned
- Mar 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | GA | Primary |
Addresses
Primary practice location
1640 Powers Ferry Rd SE
BLDG 16, Ste 100
Marietta, GA 30067-5491
Mailing address
2071 Edgemore Dr SE
Atlanta, GA 30316-2630
Phone (678) 837-9396
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trillium Springs LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1194256073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2071 EDGEMORE DR SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303162630",
"telephone_number": "678-837-9396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 POWERS FERRY RD SE",
"address_2": "BLDG 16, STE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300675491",
"telephone_number": "678-561-6919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEOWN",
"first_name": "ELIZABETH",
"middle_name": "JOY",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-23",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.