Individual provider Active NPI

Takeya McCarthy-McDonald

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1548758634
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.016330 Issued in IL
Practice address
925B Peachtree St NE Ste 128
Atlanta, GA 30309-3918
Phone
(404) 590-2604
NPI assigned
Apr 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.016330 IL Primary

Addresses

Primary practice location

925B Peachtree St NE Ste 128
Atlanta, GA 30309-3918

Mailing address

730 Peachtree St NE Ste 570
Atlanta, GA 30308-1244
Phone (404) 590-2604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20241216002971 IL Practitioner - Mental Health Counselor 0840726725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Sondermind PCGroup PAC ID 0547795791, 64 clinicians

Practice addresses (Care Compare)

416 Main St
Suite 601
Peoria, IL 61602-3126
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC CurrentSince Sep 15, 2025 Accepting new patients
Brave Health Medical Group PA Mental Health CurrentSince Dec 1, 2024 Accepting new patients
Satya Counseling LLC Mental Health Current Accepting new patients

Locations

1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749

1951 NW 7th Ave
Ste 300
Miami, FL 33136
Phone (305) 699-3101

925B Peachtree St NE
Ste 128
Atlanta, GA 30309
Phone (404) 590-2604

416 Main St
Ste 601
Peoria, IL 61602
Phone (309) 945-3305

Interoperability endpoints

  • Direct secure messaging: takeya.mccarthy-mcdonald.1@23300.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1548758634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 PEACHTREE ST NE STE 570",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081244",
            "telephone_number": "404-590-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925B PEACHTREE ST NE STE 128",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093918",
            "telephone_number": "404-590-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY-MCDONALD",
        "first_name": "TAKEYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.016330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.