Active NPI
Jeanna McGill, MA
- Psychologist
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1161
- Practice address
- 4602 Maccorkle Ave SE
Charleston, WV 25304-1848 - Phone
- (304) 205-7535
- NPI assigned
- Jul 14, 2017
- Last updated
- Apr 4, 2023
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1161 | WV | Primary |
Addresses
Primary practice location
4602 Maccorkle Ave SE
Charleston, WV 25304-1848
Mailing address
104 Alex LN
Charleston, WV 25304-2952
Phone (304) 734-2040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cabin Creek Health Center, Inc. | Current | Accepting new patients | |
| Cabin Creek Health Center, Inc. | Current | Accepting new patients | |
| Cabin Creek Health Center, Inc. | Past | Accepting new patients |
Locations
1 Warrior Way
Ste 103
Belle, WV 25015
Phone (304) 949-3591
4602 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 205-7535
6135 Sissonville Dr
Charleston, WV 25312
Phone (304) 343-8030
104 Alex Ln
Charleston, WV 25304
Phone 30473420401319
107 Koontz Ave
Ste 200
Clendenin, WV 25045
Phone (304) 548-7272
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Dawes, WV
- NPI 1366495525
-
dba Westside Health Center
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1194596759
-
dba Kanawha City Health Center
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1588908362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1427570076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 ALEX LN",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253042952",
"telephone_number": "304-734-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4602 MACCORKLE AVE SE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041848",
"telephone_number": "304-205-7535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGILL",
"first_name": "JEANNA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-14",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WV",
"license": "1161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.