Active NPI
Sandra Johnson McMahon, M.A., L.P.C.
- Mental Health Counselor
- Wheeling, WV
National Provider Identifier
1912051830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1633
- Practice address
- 40 12TH St
Wheeling, WV 26003-3279 - Phone
- (304) 233-1200
- Fax
- (304) 233-1269
- NPI assigned
- Jan 22, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1633 | WV | Primary |
Addresses
Primary practice location
40 12TH St
Wheeling, WV 26003-3279
Mailing address
213 Walnut Dr.
Venetia, PA 15367
Phone (724) 941-1615
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2107508 | Other | CIGNA | |
| 466489 | Other | VALUOPTIONS | |
| 342868 | Other | MANAGED HEALTH NETWORK | |
| Y584446A | Other | OH | HEALTH PLAN |
| 261693 | Other | COMPYSCH |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1633 | WV | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912051830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 WALNUT DR.",
"city": "VENETIA",
"state": "PA",
"postal_code": "15367",
"telephone_number": "724-941-1615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 12TH ST",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033279",
"telephone_number": "304-233-1200",
"fax_number": "304-233-1269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "SANDRA",
"middle_name": "JOHNSON",
"name_prefix": "Mrs.",
"credential": "M.A., L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WV",
"license": "1633",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2107508",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUOPTIONS",
"identifier": "466489",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "342868",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN",
"identifier": "Y584446A",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPYSCH",
"identifier": "261693",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.