Kimberly Renay McNair, LPC, CAC II

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC002892 Issued in GA

Practice address

2330 Scenic Hwy S
Snellville, GA 30078-3115

Phone

(678) 863-6641

NPI assigned

Mar 4, 2015

Last updated

Mar 4, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 22, 2024 through Mar 22, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1750773487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 BAYWATER TRL",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300397006",
            "telephone_number": "678-863-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 SCENIC HWY S",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783115",
            "telephone_number": "678-863-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAIR",
        "first_name": "KIMBERLY",
        "middle_name": "RENAY",
        "credential": "LPC, CAC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "1502-R",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC002892",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002691",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsia McKie
• McKinley Alliance Group (Sarahcare of Snellville)
• Deborah McKinnies-Wesley
• Roger McLin
• Ashley B McNair
• Carla Doleman McNear, HEALTH COACH
• Lisa McNeill, BSN,RN
• Debbie Ruth McNeish, RN, PMHNP-BC
• Michael Wayne McNulty, LPC
• Deanna Marie McPhail

• Professional Counselor in Snellville, GA
• Providers in Snellville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.