Individual provider Active NPI

Mary Kathleen McMahon, LMHC

  • Mental Health Counselor
  • Massapequa Park, NY
National Provider Identifier
1215857487
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
017914 Issued in NY
Practice address
1035 Park Blvd Ste 2C
Massapequa Park, NY 11762-2743
Phone
(516) 247-6449
NPI assigned
Jul 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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 017914 NY Primary

Addresses

Primary practice location

1035 Park Blvd Ste 2C
Massapequa Park, NY 11762-2743

Mailing address

1035 Park Blvd Ste 2C
Massapequa Park, NY 11762-2743
Phone (516) 247-6449

Other practice location 1

303 5th Ave Rm 905
New York, NY 10016-6682
Phone (516) 247-6449

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

NPI Registry JSON

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1215857487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 PARK BLVD STE 2C",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622743",
            "telephone_number": "516-247-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PARK BLVD STE 2C",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622743",
            "telephone_number": "516-247-6449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 5th Ave Rm 905",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166682",
            "country_code": "US",
            "telephone_number": "516-247-6449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "017914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.