Active NPI
Virginia McKenna, M.ED.
- Professional Counselor
- Bogart, GA
National Provider Identifier
1881801181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC 005350
- Practice address
- 1551 Jennings Mill Rd
Resource Valley, Suite 1700-B
Bogart, GA 30622-2544 - Phone
- (706) 338-3688
- NPI assigned
- May 17, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC 005350 | GA | Primary |
Addresses
Primary practice location
1551 Jennings Mill Rd
Resource Valley, Suite 1700-B
Bogart, GA 30622-2544
Mailing address
1551 Jennings Mill Rd
Resource Valley, Suite 1700-B
Bogart, GA 30622-2544
Phone (706) 338-3688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC 005350 | Other | GA | STATE OF GEORGIA |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 005350 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230508800000",
"number": "1881801181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 JENNINGS MILL RD",
"address_2": "RESOURCE VALLEY, SUITE 1700-B",
"city": "BOGART",
"state": "GA",
"postal_code": "306222544",
"telephone_number": "706-338-3688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 JENNINGS MILL RD",
"address_2": "RESOURCE VALLEY, SUITE 1700-B",
"city": "BOGART",
"state": "GA",
"postal_code": "306222544",
"telephone_number": "706-338-3688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNA",
"first_name": "VIRGINIA",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2008-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC 005350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF GEORGIA",
"identifier": "LPC 005350",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bogart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.