Katelyn Marie McGookey, M.ED, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2001771-SUPV Issued in OH

Practice address

1012 Odnr Mohican 51
Perrysville, OH 44864-9407

Phone

(419) 994-0300

NPI assigned

Jun 13, 2017

Last updated

Nov 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Psychological & Behavioral Consultants, LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713
  Medicare reassignment NPD

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1497285589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 ODNR MOHICAN 51",
            "city": "PERRYSVILLE",
            "state": "OH",
            "postal_code": "448649407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 ODNR MOHICAN 51",
            "city": "PERRYSVILLE",
            "state": "OH",
            "postal_code": "448649407",
            "telephone_number": "419-994-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOOKEY",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "credential": "M.ED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.1300364",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2001771-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lyon
• Jillian Madden, QBHS
• Bobbi Magistro, QBHS
• Christine N Mangette, 0801131 LSW
• Kimberly S McFarren, LMT
• Regan M Meier, LISW
• Titania Melton, QBHS
• Brittany Dawn Miller, QBHS
• Dean Miller, DR.
• Mohican Youth Academy

• Professional Counselor in Perrysville, OH
• Providers in Perrysville, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.

Verify at the official NPI Registry.