Katherine McDonald, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P1203035 Issued in AR

Practice address

140 E Park Ave
Lake Wales, FL 33853-4124

Phone

(863) 535-5246

NPI assigned

Dec 17, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1639472392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 SALLY RD",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338532730",
            "telephone_number": "863-605-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E PARK AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534124",
            "telephone_number": "863-535-5246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 S. 48th St.",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "72762",
            "country_code": "US",
            "telephone_number": "479-725-5224",
            "fax_number": "479-750-8967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "KATHERINE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1101010",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1203035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Mathews
• Karen Kelley Mathis, PAC
• Max Forni DMD P.a.
• Diane McCray-Brown, OTA/L
• Diane Michelle McCrummen, LMT
• David Francis McDowall, D.D.S.
• McKeon Chiropractic Clinic PA
• Mark John McKeon, D.C.
• Thomas Daniel McKeon Jr., D.C.
• Twascha Rena McKnight

• Mental Health Counselor in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.