Alicia K McDonough, MHC-LP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P112140 Issued in NY

Practice address

590 Flatbush Ave Apt 14S
Brooklyn, NY 11225-4994

Phone

(917) 722-2392

NPI assigned

Nov 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Liberation-Based Therapy LCSW PLLC

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1255926176
  NPD

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1700544400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 BROADWAY APT D2",
            "city": "MENANDS",
            "state": "NY",
            "postal_code": "122042828",
            "telephone_number": "518-423-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 FLATBUSH AVE APT 14S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254994",
            "telephone_number": "917-722-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "ALICIA",
        "middle_name": "K",
        "credential": "MHC-LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P112140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie McDonald, DDS
• Sigmund Andre McDonald, PA-C
• Thelica McDonald
• Patrick Vincent McDonnell, PHARM. D.
• Leisa McDonnough-Genin, M.D.
• Jennifer McDonough
• Katherine Hart McDonough, MD
• Kevin Hart McDonough, MD
• Maureen P McDonough, PT
• Rory Eugene McDonough

• Mental Health Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.