Individual provider Active NPI

Michael Downs McAllister Jr., M.A., M.S., LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1750674636
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC007418 Issued in GA
Practice address
2215 Cheshire Bridge Rd NE
Suite C3
Atlanta, GA 30324-4234
Phone
(404) 368-2773
NPI assigned
May 25, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC007418 GA
Professional Counselor 101YP2500X LPC007418 GA Primary

Addresses

Primary practice location

2215 Cheshire Bridge Rd NE
Suite C3
Atlanta, GA 30324-4234

Mailing address

906 Mill Pond Dr SE
Smyrna, GA 30082-3831
Phone (404) 368-2773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240112002412 GA Practitioner - Mental Health Counselor 2668834557 Practice locations: Atlanta, GA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2215 Cheshire Bridge Rd NE
Atlanta, GA 30324-4234
Phone (404) 368-2773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
LPC007418GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1750674636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 MILL POND DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823831",
            "telephone_number": "404-368-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 CHESHIRE BRIDGE RD NE",
            "address_2": "SUITE C3",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244234",
            "telephone_number": "404-368-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "MICHAEL",
        "middle_name": "DOWNS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.A., M.S., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC007418",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.