Mary Ann M. McGannon, LPC, ATR-BC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2816 Issued in NC

Practice address

436 E Long Ave
Gastonia, NC 28054-2516

Phone

(704) 853-8227

Fax

(704) 853-8272

NPI assigned

Sep 1, 2006

Last updated

Jul 9, 2007By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Familiy Works Inc.

  • Mental Health Counselor
  • Gastonia, NC
  • NPI 1811006778
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1528160652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 E LONG AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542516",
            "telephone_number": "704-853-8227",
            "fax_number": "704-853-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 E LONG AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542516",
            "telephone_number": "704-853-8227",
            "fax_number": "704-853-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGANNON",
        "first_name": "MARY ANN",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LPC, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102165",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabella McDonald
• Lakisha Lee McDonald, DNP
• Jasmine McDowell, RN
• Desiree' McDuffie, PTA
• Colton Thomas McElveen
• Chad McGhee
• Evelyn B McGill, MA, LCAS, LPC, CSI
• Linda C McGinnis, RN
• Chasidy Lavon McGlown, LCMHCA
• James G McGrath, M.D.

• Mental Health Counselor in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.