Organization Active NPI

McKinney Counseling Services LLC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1679870679
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC003685 Issued in GA
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

Updated by the provider on Feb 28, 2011

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X LPC003685 GA
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
003104528AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
McKinney Counseling Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.