Individual provider Active NPI

Kyle Macdonald, LPC-MHSP / LPC

  • Counselor
  • Missouri City, TX
National Provider Identifier
1326608522
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4292 Issued in TN
Practice address
9029 Sienna Ranch Road
Missouri City, TX 77459
Phone
(281) 399-4767
NPI assigned
Jun 19, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4292 TN Primary

Addresses

Primary practice location

9029 Sienna Ranch Road
Missouri City, TX 77459

Mailing address

PO Box 966
Fresno, TX 77545-0966
Phone (281) 399-4767

Other practice location 1

4623 Trousdale Dr
Nashville, TN 37204-4584
Phone (832) 236-0749

Other identifiers 2

IdentifierTypeStateIssuer
4292OtherTNLICENSED PROFESSIONAL COUNSELOR - MENTAL HEALTH SERVICE PROVIDER (LPC-MHSP)
84129OtherTXLICENSED PROFESSIONAL COUNSELOR LPC

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

LicenseStateTypeSpecialty
4292TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mac Counseling and Consulting PLLC CurrentSince Oct 4, 2020 Accepting new patients

Locations

9029 Sienna Ranch Rd
Missouri City, TX 77459
Phone (281) 399-4767

Organizations & group practices 1

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": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1326608522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775450966",
            "telephone_number": "281-399-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9029 SIENNA RANCH ROAD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "77459",
            "telephone_number": "281-399-4767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4623 Trousdale Dr",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372044584",
            "country_code": "US",
            "telephone_number": "832-236-0749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "KYLE",
        "credential": "LPC-MHSP / LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "4292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR - MENTAL HEALTH SERVICE PROVIDER (LPC-MHSP)",
            "identifier": "4292",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR LPC",
            "identifier": "84129",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.