Active NPI
Anna Amelia McMahon, LPC
- Professional Counselor
- Ruston, LA
National Provider Identifier
1609116334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 66531
- Practice address
- 4396 Highway 80
Ruston, LA 71270-8948 - Phone
- (972) 358-9101
- NPI assigned
- Feb 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 7668 | LA | |
| Professional Counselor | 101YP2500X | 66531 | TX | Primary |
Addresses
Primary practice location
4396 Highway 80
Ruston, LA 71270-8948
Mailing address
103 Kirven Ave
Waxahachie, TX 75165-2401
Phone (972) 921-5555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66531 | Other | TX | TEXAS STATE BOARD OF EXAMINERS AND PROFESSIONAL COUNSELORS |
| 7668 | Other | LA | LOUISIANA LPC LICENSURE NUMBER |
Other names 1
- Anna Amelia Head
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66531 | TX | MD | Clinical Social Worker |
| 7668 | LA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wright Wellness PLLC | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Arlington, TX
- NPI 1992106561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1609116334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 KIRVEN AVE",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751652401",
"telephone_number": "972-921-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4396 HIGHWAY 80",
"city": "RUSTON",
"state": "LA",
"postal_code": "712708948",
"telephone_number": "972-358-9101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "ANNA",
"middle_name": "AMELIA",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-16",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "7668",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "66531",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF EXAMINERS AND PROFESSIONAL COUNSELORS",
"identifier": "66531",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOUISIANA LPC LICENSURE NUMBER",
"identifier": "7668",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "HEAD",
"middle_name": "AMELIA",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ruston, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.