Active NPI
Kelsey McNichols, MHP
- Counselor
- Metropolis, IL
National Provider Identifier
1699306332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 206 W 5TH St
Metropolis, IL 62960-1810 - Phone
- (618) 524-9368
- NPI assigned
- Jan 31, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | IL | Primary |
Addresses
Primary practice location
206 W 5TH St
Metropolis, IL 62960-1810
Mailing address
6667 Powers Church Rd
Metropolis, IL 62960-6029
Phone (618) 645-2028
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101Y00000X | Medicaid | IL | |
| 101Y00000X | Other | IL | ANY OTHER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kelsey@mcmhc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1699306332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6667 POWERS CHURCH RD",
"city": "METROPOLIS",
"state": "IL",
"postal_code": "629606029",
"telephone_number": "618-645-2028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 W 5TH ST",
"city": "METROPOLIS",
"state": "IL",
"postal_code": "629601810",
"telephone_number": "618-524-9368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNICHOLS",
"first_name": "KELSEY",
"credential": "MHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-31",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101Y00000X",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANY OTHER",
"identifier": "101Y00000X",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kelsey@mcmhc.com",
"affiliation": "N",
"endpointDescription": "This is a secure email provided through MCMHC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Emails, Scheduling, etc.",
"address_1": "206 W 5th St",
"city": "Metropolis",
"state": "IL",
"country_code": "US",
"postal_code": "629601810",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Metropolis, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.