Active NPI
Mary Jeanette McDonald, LCMHC-A
- Counselor
- Greensboro, NC
National Provider Identifier
1225753791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A15929
- Practice address
- 3008 W Sedgefield Dr
Greensboro, NC 27407-7313 - Phone
- (336) 455-3524
- NPI assigned
- Oct 7, 2022
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | A15929 | NC | Primary |
Addresses
Primary practice location
3008 W Sedgefield Dr
Greensboro, NC 27407-7313
Mailing address
3008 W Sedgefield Dr
Greensboro, NC 27407-7313
Phone (336) 455-3524
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.mollyconsultingrelationships@gmail.com | Other |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A15929 | NC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1225753791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3008 W SEDGEFIELD DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274077313",
"telephone_number": "336-455-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3008 W SEDGEFIELD DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274077313",
"telephone_number": "336-455-3524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "MARY",
"middle_name": "JEANETTE",
"credential": "LCMHC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-07",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "NC",
"license": "A15929",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.mollyconsultingrelationships@gmail.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "www.mollyconsultingrelationships@gmail.com",
"address_1": "3008 W Sedgefield Dr",
"city": "Greensboro",
"state": "NC",
"country_code": "US",
"postal_code": "274077313",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.