Shana L McKissick, MA, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC20269 Issued in AZ

Practice address

16815 S Desert Foothills Pkwy Ste 134
Phoenix, AZ 85048-8465

Phone

(602) 550-5221

NPI assigned

Sep 29, 2021

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

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.

• Newpoint of View Counseling

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1629430459
  NPD (past)

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1760154678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 N KENNETH PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262944",
            "telephone_number": "480-309-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16815 S DESERT FOOTHILLS PKWY STE 134",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488465",
            "telephone_number": "602-550-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKISSICK",
        "first_name": "SHANA",
        "middle_name": "L",
        "credential": "MA, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC20269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Rose McKinney
• Kayesha Marcelle McKinney, BHPP
• Renica McKinney
• Velma McKinney
• Kristen McKinnon Shaw, M.D.
• Curtis A McKnight, M.D.
• Cayley N McKowen, RN
• Linda McLane
• Alex C McLaren, MD
• McLaughlin Company LLC

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.