Active NPI
Kelly McGettigan, LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1639795255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 81046
- Practice address
- 1310 S 1St St Ste 200
Austin, TX 78704-3061 - Phone
- (512) 572-1331
- NPI assigned
- Jun 19, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 81046 | TX | Primary |
Addresses
Primary practice location
1310 S 1St St Ste 200
Austin, TX 78704-3061
Mailing address
1310 S 1St St Ste 200
Austin, TX 78704-3061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 23, 2024 through Feb 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81046 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1639795255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 S 1ST ST STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787043061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 S 1ST ST STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787043061",
"telephone_number": "512-572-1331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGETTIGAN",
"first_name": "KELLY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-19",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "81046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.