Mickey Deshawn McKinley, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0012030 Issued in CO

Practice address

1440 E Fountain Blvd
Colorado Springs, CO 80910-3502

Phone

(719) 360-5090

Fax

(719) 362-6573

NPI assigned

May 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1356878706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1179 WESTMORELAND RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074628",
            "telephone_number": "719-360-5090",
            "fax_number": "719-632-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 E FOUNTAIN BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103502",
            "telephone_number": "719-360-5090",
            "fax_number": "719-362-6573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5390 N Academy Blvd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809184176",
            "country_code": "US",
            "telephone_number": "719-466-1165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "MICKEY",
        "middle_name": "DESHAWN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0012030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael McKenzie
• Jocelyn B McKey, PA
• Shannon McKiernan
• Heidi McKindra, RN
• Maddison McKinlay
• Maxian McKinney, COTA/L
• Najea McKinney
• Nicole McKinney, MD
• Brian McKinnon, LPN
• Michael Sean McKisic, MD

• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.