Active NPI
Gina Marie McMahon, LLP
- Counseling Psychologist
- Hastings, MI
National Provider Identifier
1386829570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6301011002
- Practice address
- 421 S Park St
Hastings, MI 49058-1636 - Phone
- (269) 948-0171
- NPI assigned
- Jan 7, 2008
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6301011002 | MI | Primary |
Addresses
Primary practice location
421 S Park St
Hastings, MI 49058-1636
Mailing address
421 S Park St
Hastings, MI 49058-1636
Phone (269) 948-0171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71976 | Medicaid | MI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6301011002 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1386829570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 S PARK ST",
"city": "HASTINGS",
"state": "MI",
"postal_code": "490581636",
"telephone_number": "269-948-0171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 S PARK ST",
"city": "HASTINGS",
"state": "MI",
"postal_code": "490581636",
"telephone_number": "269-948-0171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "GINA",
"middle_name": "MARIE",
"credential": "LLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-07",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301011002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "71976",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hastings, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.