Mary Ann McGannon, LPC, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2816 Issued in NC

Legal business name

MARY ANN MCGANNON, LPC, LLC

Practice address

1122 Sam Newell Rd
Ste 103
Matthews, NC 28105-5015

Phone

(803) 431-6103

NPI assigned

Jan 20, 2010

Organization subpart

No

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

Authorized official

Name

Miss Mary Ann M. McGannon, LPC

Title

Owner

Phone

(803) 431-6103

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1497086110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 PETERSBURG DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297085708",
            "telephone_number": "803-431-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 SAM NEWELL RD",
            "address_2": "STE 103",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055015",
            "telephone_number": "803-431-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANN MCGANNON, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "MCGANNON",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-431-6103",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "NC",
            "license": "2816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Shirley Martin, OTR
• Tiffany G. Martin, LCSW
• Valerie A Martin, MD
• Zachary Carter Martin, PHARMD, CPP
• Vidyasagargoud Marupakula, MD
• Tracy Masiello, PH.D.
• Asif Ali Mastan, MD
• Sylvia Schneider Maston, MD
• Tami L Matala-Barbaryka, PT
• Heather Jean Mathew, NP-C

• Counselor in Matthews, NC
• Providers in Matthews, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.