Active NPI
Anna S McKinnon, LMSW
- Mental Health Counselor
- New York, NY
National Provider Identifier
1760982847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 100446-1
- Practice address
- 90 Park Ave FL 17
New York, NY 10016-1373 - Phone
- (646) 665-7131
- NPI assigned
- Feb 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 100446-1 | NY | Primary |
Addresses
Primary practice location
90 Park Ave FL 17
New York, NY 10016-1373
Mailing address
40 Avenue B Apt 4E
New York, NY 10009-7583
Phone (240) 676-3554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100446-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518652800000",
"number": "1760982847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 AVENUE B APT 4E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100097583",
"telephone_number": "240-676-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 PARK AVE FL 17",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100161373",
"telephone_number": "646-665-7131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNON",
"first_name": "ANNA",
"middle_name": "S",
"name_prefix": "Miss",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-15",
"last_updated": "2018-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "100446-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.