Individual provider Active NPI

Elise Macdonald

  • Mental Health Counselor
  • Kennesaw, GA
National Provider Identifier
1437783404
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC014799 Issued in GA
Practice address
1301 Shiloh Rd NW Ste 340
Kennesaw, GA 30144-7151
Phone
(678) 386-9995
NPI assigned
Feb 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APC007187 GA
Mental Health Counselor 101YM0800X LPC014799 GA Primary

Addresses

Primary practice location

1301 Shiloh Rd NW Ste 340
Kennesaw, GA 30144-7151

Mailing address

1301 Shiloh Rd NW Ste 340
Kennesaw, GA 30144-7151
Phone (678) 386-9995

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL elise.d.macdonald@gmail.com

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

LicenseStateTypeSpecialty
APC007187GAMDMental Health Counselor
LPC014799GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1437783404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 340",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447151",
            "telephone_number": "678-386-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 340",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447151",
            "telephone_number": "678-386-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC007187",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC014799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elise.d.macdonald@gmail.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "address_1": "1301 Shiloh Rd NW Ste 340",
            "city": "Kennesaw",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301447151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.