Individual provider Active NPI

Katelyn McNair, MA, LPC

  • Counselor
  • Austin, TX
National Provider Identifier
1841876752
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
83048 Issued in TX
Practice address
11754 Jollyville Rd Ste 110
Austin, TX 78759-3948
Phone
(512) 331-2700
Fax
(512) 331-2700
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 83048 TX Primary

Addresses

Primary practice location

11754 Jollyville Rd Ste 110
Austin, TX 78759-3948

Mailing address

11754 Jollyville Rd Ste 110
Austin, TX 78759-3948
Phone (512) 331-2700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmcnair@timothycenter.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 3, 2024 through Jul 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
83048TXMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1841876752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11754 JOLLYVILLE RD STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593948",
            "telephone_number": "512-331-2700",
            "fax_number": "512-331-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11754 JOLLYVILLE RD STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593948",
            "telephone_number": "512-331-2700",
            "fax_number": "512-331-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAIR",
        "first_name": "KATELYN",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "83048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmcnair@timothycenter.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "11754 Jollyville Rd Ste 110",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787593948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.