Individual provider Active NPI

Meghan McDonald Leigh-Manuell, LPC

  • Counselor
  • Woodstock, GA
National Provider Identifier
1548675598
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC007503 Issued in GA
Practice address
207 Magnolia Creek Way
Woodstock, GA 30188
Phone
(678) 444-4505
Fax
(678) 444-4506
NPI assigned
Jun 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC007503 GA Primary

Addresses

Primary practice location

207 Magnolia Creek Way
Woodstock, GA 30188

Mailing address

12195 Hwy 92
Suite 114 PMB 313
Woodstock, GA 30188
Phone (678) 444-4505

Other names 1

  • Ms. Meghan Diane McDonald Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 23, 2024 through Jan 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC007503GAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1404000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1548675598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12195 HWY 92",
            "address_2": "SUITE 114 PMB 313",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30188",
            "telephone_number": "678-444-4505",
            "fax_number": "678-444-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MAGNOLIA CREEK WAY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30188",
            "telephone_number": "678-444-4505",
            "fax_number": "678-444-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIGH-MANUELL",
        "first_name": "MEGHAN",
        "middle_name": "MCDONALD",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-29",
        "last_updated": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC007503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "MCDONALD",
            "middle_name": "DIANE",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.