Active NPI
Dawn Terese McKinley, MA, LPC
- Professional Counselor
- Hartford, CT
National Provider Identifier
1376628602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001666
- Practice address
- 21 Grand St
Hartford, CT 06106-1541 - Phone
- (860) 550-7500
- Fax
- (860) 550-7596
- NPI assigned
- Oct 26, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001666 | CT | Primary |
Addresses
Primary practice location
21 Grand St
Hartford, CT 06106-1541
Mailing address
21 Grand St
Hartford, CT 06106-1541
Phone (860) 550-7500
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001666 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491523200000",
"number": "1376628602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 GRAND ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061061541",
"telephone_number": "860-550-7500",
"fax_number": "860-550-7596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 GRAND ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061061541",
"telephone_number": "860-550-7500",
"fax_number": "860-550-7596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINLEY",
"first_name": "DAWN",
"middle_name": "TERESE",
"name_prefix": "Ms.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2017-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "001666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.