Active NPI
McKinney Counseling Services LLC
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1679870679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC003685
- Legal business name
- MCKINNEY COUNSELING SERVICES LLC
- Practice address
- 3445 Buffington Center
Atlanta, GA 30349-2941 - Phone
- (404) 281-1698
- Fax
- (404) 968-4562
- NPI assigned
- Feb 28, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracey Adele McKinney, LPC
- Title
- Owner/Provider
- Phone
- (404) 281-1698
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LPC003685 | GA | |
| Professional Counselor | 101YP2500X | LPC003685 | GA | Primary |
Addresses
Primary practice location
3445 Buffington Center
Atlanta, GA 30349-2941
Mailing address
2440 McCall CT
Douglasville, GA 30135-3093
Phone (404) 281-1698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003104528A | Medicaid | GA |
National Provider Directory
National Provider Directory- Tax ID family
- McKinney Counseling Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Professional Counselor
- Douglasville, GA
- NPI 1477918266
Locations
3445 Buffington Ctr
Atlanta, GA 30349
Phone (404) 281-1698
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Fairburn, GA
- NPI 1003176363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298851200000",
"number": "1679870679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 MCCALL CT",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301353093",
"telephone_number": "404-281-1698",
"fax_number": "404-968-4562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3445 BUFFINGTON CENTER",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303492941",
"telephone_number": "404-281-1698",
"fax_number": "404-968-4562"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCKINNEY COUNSELING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-28",
"last_updated": "2011-02-28",
"status": "A",
"authorized_official_last_name": "MCKINNEY",
"authorized_official_first_name": "TRACEY",
"authorized_official_middle_name": "ADELE",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "404-281-1698",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "LPC003685",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC003685",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003104528A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.