Individual provider Active NPI

Mikka McGee

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1881130193
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
256161 Issued in KY
Practice address
1351 Newtown Pike
Bluegrass.Org
Lexington, KY 40511-3670
Phone
(606) 643-6961
NPI assigned
Jan 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 256161 KY Primary

Addresses

Primary practice location

1351 Newtown Pike
Bluegrass.Org
Lexington, KY 40511-3670

Mailing address

PO Box 13670
Bluegrass
Lexington, KY 40583-3670
Phone (606) 643-6961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211109002561 KY Practitioner - Clinical Social Worker 4789073982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

100 Executive Park
Suite 103
Louisville, KY 40207-4201
Phone (502) 552-5068

1030 Monarch St
Suite 100
Lexington, KY 40513-1820
Phone (844) 468-5050

120 Prosperous PL
Suite 201
Lexington, KY 40509-1866
Phone (216) 468-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince Mar 1, 2022 Accepting new patients

Locations

120 Prosperous Pl
Ste 150
Lexington, KY 40509
Phone (859) 214-7440

120 Prosperous Pl
Ste 201
Lexington, KY 40509
Phone (859) 368-0609

161 Prosperous Pl
Ste 100
Lexington, KY 40509
Phone (859) 214-7440

100 Executive Park
Ste 103
Louisville, KY 40207
Phone (502) 313-6880

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.

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1881130193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13670",
            "address_2": "BLUEGRASS",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405833670",
            "telephone_number": "606-643-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 NEWTOWN PIKE",
            "address_2": "BLUEGRASS.ORG",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405113670",
            "telephone_number": "606-643-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEE",
        "first_name": "MIKKA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.