Individual provider Active NPI

Lekeisha Shauntae McNeil, MS. LPC

  • Professional Counselor
  • Thomasville, GA
National Provider Identifier
1710269758
Registry record updated Aug 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC006408 Issued in GA
Practice address
125 N Broad St Ste 302
Thomasville, GA 31792-8116
Phone
(912) 212-5803
NPI assigned
Sep 15, 2011
Last updated
Aug 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC006408 GA Primary

Addresses

Primary practice location

125 N Broad St Ste 302
Thomasville, GA 31792-8116

Mailing address

5826 Ga Highway 202
Thomasville, GA 31757-2946
Phone (912) 212-5803

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lsmcneil@cjcounselingservice.com Crossing Jordan Counseling Services, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240418004407 TX Practitioner - Mental Health Counselor 7315386687 Reassigns benefits to 1 organization
I20240705000362 GA Practitioner - Mental Health Counselor 7315386687 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC006408GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Mar 15, 2024 Accepting new patients
Crossing Jordan Counseling Services, LLC CurrentSince Mar 1, 2024 Accepting new patients
Opportunities & Solutions, Inc. Professional Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

125 N Broad St
Ste 302
Thomasville, GA 31792
Phone (912) 212-5803

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 3

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": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724457600000",
    "number": "1710269758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5826 GA HIGHWAY 202",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317572946",
            "telephone_number": "912-212-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N BROAD ST STE 302",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317928116",
            "telephone_number": "912-212-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "LEKEISHA",
        "middle_name": "SHAUNTAE",
        "name_prefix": "Mrs.",
        "credential": "MS. LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsmcneil@cjcounselingservice.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Crossing Jordan Counseling Services, LLC",
            "address_1": "5826 Ga Highway 202",
            "city": "Thomasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317572946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.