Individual provider Active NPI

Kamaria Taylor-McCune, PHD, LPC

  • Professional Counselor
  • Austell, GA
National Provider Identifier
1952876583
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC010363 Issued in GA
Practice address
2115 Apple Orchard Way
Austell, GA 30168-4269
Phone
(404) 530-9790
NPI assigned
Oct 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PRC200001268 DC
Professional Counselor 101YP2500X PC013603 PA
Professional Counselor 101YP2500X 90442 TX
Professional Counselor 101YP2500X LPC010363 GA Primary

Addresses

Primary practice location

2115 Apple Orchard Way
Austell, GA 30168-4269

Mailing address

2997 Cobb Parkway SE
#724324
Atlanta, GA 31139
Phone (404) 530-9790

Other practice location 1

1629 K St NW Ste 300
Washington, DC 20006-1631
Phone (404) 530-9790

Other practice location 2

5831 Forward Ave # 1308
Pittsburgh, PA 15217-2301
Phone (404) 530-9790

Other practice location 3

1800 S Dairy Ashford Rd
Houston, TX 77077-4702
Phone (404) 530-9790

Other practice location 4

7244 Castor Ave
Philadelphia, PA 19149-1109
Phone (404) 530-9790

Other identifiers 1

IdentifierTypeStateIssuer
003216081BMedicaidGA

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PRC200001268DCMDProfessional Counselor
LPC010363GAMDProfessional Counselor
PC013603PAMDProfessional Counselor
90442TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Yolo Therapy LLC Professional CurrentSince Aug 28, 2022 Accepting new patients

Locations

1629 K St NW
Ste 300
Washington, DC 20006
Phone (202) 922-6630

2997 Cobb Pkwy SE
Unit 724324
Atlanta, GA 31139
Phone (404) 530-9790

6710 Laurel Bowie Rd
Unit 682
Bowie, MD 20718

7244 Castor Ave
Philadelphia, PA 19149
Phone (404) 530-9790

5831 Forward Ave
Pittsburgh, PA 15217
Phone (412) 326-9059

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": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1952876583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2997 COBB PARKWAY SE",
            "address_2": "#724324",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "31139",
            "telephone_number": "404-530-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 APPLE ORCHARD WAY",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301684269",
            "telephone_number": "404-530-9790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1629 K St NW Ste 300",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200061631",
            "country_code": "US",
            "telephone_number": "404-530-9790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5831 Forward Ave # 1308",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152172301",
            "country_code": "US",
            "telephone_number": "404-530-9790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 S Dairy Ashford Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770774702",
            "country_code": "US",
            "telephone_number": "404-530-9790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7244 Castor Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191491109",
            "country_code": "US",
            "telephone_number": "404-530-9790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR-MCCUNE",
        "first_name": "KAMARIA",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC200001268",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013603",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "90442",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003216081B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.