Active NPI
Kellie O'Leary McKinney, MS, LCPC
- Professional Counselor
- Baltimore, MD
National Provider Identifier
1457771123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC5636
- Practice address
- 2401 E North Ave
Baltimore, MD 21213-1517 - Phone
- (410) 675-2113
- Fax
- (410) 675-2115
- NPI assigned
- Apr 22, 2014
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC5636 | MD | Primary |
Addresses
Primary practice location
2401 E North Ave
Baltimore, MD 21213-1517
Mailing address
4319 Lasalle Ave
Baltimore, MD 21206-4234
Phone (410) 585-4525
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC5636 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398124800000",
"number": "1457771123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4319 LASALLE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212064234",
"telephone_number": "410-585-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 E NORTH AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212131517",
"telephone_number": "410-675-2113",
"fax_number": "410-675-2115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "KELLIE",
"middle_name": "O'LEARY",
"credential": "MS, LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-22",
"last_updated": "2014-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC5636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.