Active NPI
Katelyn McDonald, LMSW
- Counselor
- Buckley, MI
National Provider Identifier
1235000522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6801120544
- Practice address
- 1293 M-37
Suite a
Buckley, MI 49620 - Phone
- (231) 269-4185
- NPI assigned
- Sep 17, 2025
- 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 | 6801120544 | MI | Primary |
Addresses
Primary practice location
1293 M-37
Suite a
Buckley, MI 49620
Mailing address
20342 White Oak CT
Lake Ann, MI 49650-9688
Phone (231) 360-1813
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 |
|---|---|---|---|
| 6801120544 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1235000522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20342 WHITE OAK CT",
"city": "LAKE ANN",
"state": "MI",
"postal_code": "496509688",
"telephone_number": "231-360-1813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1293 M-37",
"address_2": "SUITE A",
"city": "BUCKLEY",
"state": "MI",
"postal_code": "49620",
"telephone_number": "231-269-4185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "KATELYN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-17",
"last_updated": "2025-09-17",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6801120544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buckley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.