Nicole McDonald Licensed Mental Health Counselor, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NICOLE MCDONALD LICENSED MENTAL HEALTH COUNSELOR, PLLC

Practice address

6422 Electric Railway
Cicero, NY 13039-8680

Phone

(315) 720-4766

NPI assigned

Jun 8, 2022

Organization subpart

No

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

Authorized official

Name

Nicole McDonald, LMHCNPI 1518422823

Title

Licensed Mental Health Counselor

Phone

(315) 720-4766

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole McDonald, LMHC

  • Mental Health Counselor
  • Syracuse, NY
  • NPI 1518422823
  NPD Authorized official

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1750010468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1323",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130391323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 ELECTRIC RAILWAY",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398680",
            "telephone_number": "315-720-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE MCDONALD LICENSED MENTAL HEALTH COUNSELOR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "315-720-4766",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Cicero, NY
• Providers in Cicero, 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 Jun 9, 2022; 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.