Active NPI
Laura May McInnis, LPC
- Professional Counselor
- Johnson City, TN
National Provider Identifier
1780275883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7263
- Practice address
- 1907 N Roan St Ste 202
Johnson City, TN 37601-3182 - Phone
- (423) 737-7762
- NPI assigned
- Feb 1, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7263 | TN | Primary |
| Professional Counselor | 101YP2500X | 80521 | TX |
Addresses
Primary practice location
1907 N Roan St Ste 202
Johnson City, TN 37601-3182
Mailing address
1907 N Roan St Ste 202
Johnson City, TN 37601-3182
Phone (423) 737-7762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 15, 2024 through Apr 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80521 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1780275883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 N ROAN ST STE 202",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376013182",
"telephone_number": "423-737-7762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 N ROAN ST STE 202",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376013182",
"telephone_number": "423-737-7762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINNIS",
"first_name": "LAURA",
"middle_name": "MAY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-01",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "7263",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "80521",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.