Active NPI
Sean McNally
- Counselor
- Livonia, MI
National Provider Identifier
1821575648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401015709
- Practice address
- 34935 Schoolcraft Rd Ste 207
Livonia, MI 48150-1317 - Phone
- (734) 237-7989
- NPI assigned
- Jul 24, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401015709 | MI | Primary |
Addresses
Primary practice location
34935 Schoolcraft Rd Ste 207
Livonia, MI 48150-1317
Mailing address
34935 Schoolcraft Rd Ste 207
Livonia, MI 48150-1317
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 12, 2024 through Jan 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401015709 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sycamore Counseling & Coaching, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Sycamore Counseling Services
- Mental Health Counselor
- Livonia, MI
- NPI 1124588702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1821575648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34935 SCHOOLCRAFT RD STE 207",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34935 SCHOOLCRAFT RD STE 207",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501317",
"telephone_number": "734-237-7989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNALLY",
"first_name": "SEAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-24",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401015709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.