Individual provider Active NPI

Mary Jane McGill, LCMHC-S, LCAS, CCS

  • Addiction (Substance Use Disorder) Counselor
  • Cornelius, NC
National Provider Identifier
1689702243
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
52 Issued in NC
Practice address
16930 W Catawba Ave Apt K
Cornelius, NC 28031-5638
Phone
(336) 541-5867
NPI assigned
Mar 2, 2007
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 52 NC Primary
Mental Health Counselor 101YM0800X S5125 NC

Addresses

Primary practice location

16930 W Catawba Ave Apt K
Cornelius, NC 28031-5638

Mailing address

20815 Sterling Bay LN E Apt K
Cornelius, NC 28031-4915
Phone (336) 541-5867

Other identifiers 1

IdentifierTypeStateIssuer
6103046MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030001223 NC Practitioner - Other (Non-Physician) 8123517158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16501 Northcross Dr
Suite B
Huntersville, NC 28078-5040
Phone (336) 541-5867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S5125NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Behavioral Health Services PLLC Addiction (Substance Use Disorder) CurrentSince Jul 20, 2025 Accepting new patients

Locations

16501 Northcross Dr
Ste B
Huntersville, NC 28078
Phone (336) 541-5867

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1689702243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20815 STERLING BAY LN E APT K",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314915",
            "telephone_number": "336-541-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16930 W CATAWBA AVE APT K",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315638",
            "telephone_number": "336-541-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "MARY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LCMHC-S,  LCAS,  CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "52",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S5125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103046",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

Verify at the official NPI Registry.