Individual provider Active NPI

Jamie McNally, LPC

  • Professional Counselor
  • Troy, MI
National Provider Identifier
1578056255
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401015618 Issued in MI
Practice address
2820 W Maple Rd Ste 128
Troy, MI 48084-7047
Phone
(734) 237-7989
NPI assigned
Jun 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401015618 MI Primary

Addresses

Primary practice location

2820 W Maple Rd Ste 128
Troy, MI 48084-7047

Mailing address

15556 Fitzgerald St
Livonia, MI 48154-1806
Phone (248) 506-2699

Other practice location 1

2836 W Jefferson Ave Ste 108
Trenton, MI 48183-2902
Phone (734) 237-7989

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 12, 2024 through Jan 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401015618MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sycamore Counseling & Coaching, LLC Current Accepting new patients

Locations

34935 Schoolcraft Rd
Ste 207
Livonia, MI 48150
Phone (734) 237-7989

2836 W Jefferson Ave
Ste 108
Trenton, MI 48183
Phone (734) 237-7989

Organizations & group practices 1

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": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1578056255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15556 FITZGERALD ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541806",
            "telephone_number": "248-506-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 W MAPLE RD STE 128",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480847047",
            "telephone_number": "734-237-7989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2836 W Jefferson Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MI",
            "postal_code": "481832902",
            "country_code": "US",
            "telephone_number": "734-237-7989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNALLY",
        "first_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.