Individual provider Active NPI

Nikki McDonald, LPC

  • Professional Counselor
  • Albany, GA
National Provider Identifier
1235507328
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC008544 Issued in GA
Practice address
2500 Dawson Rd Ste 101
Albany, GA 31707-1326
Phone
(229) 430-5100
Fax
(229) 430-1979
NPI assigned
Sep 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC008544 GA Primary

Addresses

Primary practice location

2500 Dawson Rd Ste 101
Albany, GA 31707-1326

Mailing address

PO Box 1988
Albany, GA 31702-1988
Phone (229) 430-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241227002175 GA Practitioner - Mental Health Counselor 7315474624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1400 Buford Hwy
Suite L2
Buford, GA 30518-8754
Phone (678) 451-1181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Counseling Services LLC Professional CurrentSince Nov 4, 2024 Accepting new patients
Albany Area Community SVC. Board Past Accepting new patients
Julie Homrich LLC PastSince Jan 1, 2024 Accepting new patients

Locations

1400 Buford Hwy
Ste L2
Buford, GA 30518
Phone (678) 446-3255

Organizations & group practices 3

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": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1235507328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1988",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317021988",
            "telephone_number": "229-430-5100",
            "fax_number": "229-430-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DAWSON RD STE 101",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071326",
            "telephone_number": "229-430-5100",
            "fax_number": "229-430-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "NIKKI",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.