Organization Active NPI

Elizabeth McDonald Professional Counseling, LLC

  • Mental Health Counselor
  • Traverse City, MI
National Provider Identifier
1932537594
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401003321 Issued in MI
Legal business name
ELIZABETH MCDONALD PROFESSIONAL COUNSELING, LLC
Practice address
216 E Front St
Suite 203
Traverse City, MI 49684-5736
Phone
(989) 239-0589
NPI assigned
Oct 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Authorized official

Name
Elizabeth Ann McDonald, LPCNPI 1821425562
Title
Owner
Phone
(989) 239-0589

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6401003321 MI Primary

Addresses

Primary practice location

216 E Front St
Suite 203
Traverse City, MI 49684-5736

Mailing address

139 Clare Blvd
Roscommon, MI 48653-9540
Phone (989) 239-0589

National Provider Directory

National Provider Directory

Locations

216 E Front St
Ste 203
Traverse City, MI 49684
Phone (989) 239-0589

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1932537594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CLARE BLVD",
            "city": "ROSCOMMON",
            "state": "MI",
            "postal_code": "486539540",
            "telephone_number": "989-239-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E FRONT ST",
            "address_2": "SUITE 203",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845736",
            "telephone_number": "989-239-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH MCDONALD PROFESSIONAL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-239-0589",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401003321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.