Active NPI
Latia Kelly McDonald, M.ED., LPC
- Professional Counselor
- Chapin, SC
National Provider Identifier
1356828040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6396
- Practice address
- 854 Sunseeker Dr
Chapin, SC 29036-6143 - Phone
- (803) 767-9263
- NPI assigned
- Jul 25, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 6396 | SC | Primary |
Addresses
Primary practice location
854 Sunseeker Dr
Chapin, SC 29036-6143
Mailing address
854 Sunseeker Dr
Chapin, SC 29036-6143
Phone (803) 767-9263
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 |
|---|---|---|---|
| 6396 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1356828040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "854 SUNSEEKER DR",
"city": "CHAPIN",
"state": "SC",
"postal_code": "290366143",
"telephone_number": "803-767-9263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "854 SUNSEEKER DR",
"city": "CHAPIN",
"state": "SC",
"postal_code": "290366143",
"telephone_number": "803-767-9263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "LATIA",
"middle_name": "KELLY",
"name_prefix": "Mrs.",
"credential": "M.ED., LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-25",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.