Active NPI
Michal Levine McDonough, M.ED
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1225189178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 969
- Practice address
- 515 Lamar Ave
Charlotte, NC 28204-2335 - Phone
- (704) 517-9866
- Fax
- (704) 376-8677
- NPI assigned
- Jan 16, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 969 | NC | Primary |
Addresses
Primary practice location
515 Lamar Ave
Charlotte, NC 28204-2335
Mailing address
515 Lamar Ave
Charlotte, NC 28204-2335
Phone (704) 517-9866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102234 | Medicaid | NC |
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 969 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1225189178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 LAMAR AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042335",
"telephone_number": "704-517-9866",
"fax_number": "704-376-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 LAMAR AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042335",
"telephone_number": "704-517-9866",
"fax_number": "704-376-8677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONOUGH",
"first_name": "MICHAL",
"middle_name": "LEVINE",
"name_prefix": "Ms.",
"credential": "M.ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "969",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102234",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.