Organization Active NPI

Mikaela McKee Counseling, LLC

  • Clinical Social Worker
  • Erie, PA
National Provider Identifier
1558932160
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MIKAELA MCKEE COUNSELING, LLC
Practice address
2700 W 21St St Ste 29
Erie, PA 16506-2972
Phone
(716) 361-1463
NPI assigned
Jul 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Authorized official

Name
Mikaela McKee, LCSWNPI 1487199808
Title
Owner/Provider
Phone
(716) 361-1463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2700 W 21St St Ste 29
Erie, PA 16506-2972

Mailing address

4535 Southwestern Blvd Ste 206a
Hamburg, NY 14075-1861
Phone (716) 361-1463

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210831001046 PA Part B Supplier - Clinic/Group Practice 3678979606 Receives reassigned benefits from 1 practitioner
Practice locations: Erie, PA

National Provider Directory

National Provider Directory

Locations

4535 Southwestern Blvd
Ste 206A
Hamburg, NY 14075
Phone (814) 413-1452

4380 W 12th St
Ste 2
Erie, PA 16505
Phone (716) 361-1463

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1558932160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 SOUTHWESTERN BLVD STE 206A",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751861",
            "telephone_number": "716-361-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W 21ST ST STE 29",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062972",
            "telephone_number": "716-361-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKAELA MCKEE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "MIKAELA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "716-361-1463",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.