Active NPI
Keisha K McGill, M.A.
- Mental Health Counselor
- Durham, NC
National Provider Identifier
1699967950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6486
- Practice address
- 401 E Lakewood Ave Ste E
Durham, NC 27707-1700 - Phone
- (919) 286-2146
- Fax
- (919) 908-6787
- NPI assigned
- Aug 10, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6486 | NC | Primary |
| Mental Health Counselor | 101YM0800X | 39001713A | IN |
Addresses
Primary practice location
401 E Lakewood Ave Ste E
Durham, NC 27707-1700
Mailing address
401 E Lakewood Ave Ste E
Durham, NC 27707-1700
Phone (919) 286-2146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103673 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39001713A | IN | MD | Mental Health Counselor |
| 6486 | NC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422576000000",
"number": "1699967950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E LAKEWOOD AVE STE E",
"city": "DURHAM",
"state": "NC",
"postal_code": "277071700",
"telephone_number": "919-286-2146",
"fax_number": "919-908-6787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E LAKEWOOD AVE STE E",
"city": "DURHAM",
"state": "NC",
"postal_code": "277071700",
"telephone_number": "919-286-2146",
"fax_number": "919-908-6787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGILL",
"first_name": "KEISHA",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-10",
"last_updated": "2015-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "6486",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39001713A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6103673",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.