Active NPI
Tamela Renee McDonald, LPC, CPCS, LCMHC
- Professional Counselor
- Duluth, GA
National Provider Identifier
1962866814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC009009
- Practice address
- 2180 Satellite Blvd Ste 400
Duluth, GA 30097-4927 - Phone
- (770) 696-0837
- NPI assigned
- Apr 7, 2016
- Last updated
- Oct 5, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC009009 | GA | |
| Professional Counselor | 101YP2500X | LPC009009 | GA | Primary |
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X | LCMHC19310 | NC |
Addresses
Primary practice location
2180 Satellite Blvd Ste 400
Duluth, GA 30097-4927
Mailing address
PO Box 711
Duluth, GA 30096-0013
Phone (770) 696-0837
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCMHC19310 | NC | MD | Mental Health Counselor |
| LPC009009 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matlock Resource Center, LLC | Adult Mental Health | Current | Accepting new patients |
Locations
2180 Satellite Blvd
Ste 400
Duluth, GA 30097
Phone (678) 640-7247
3235 Satellite Blvd
Ste 300
Duluth, GA 30096
Phone (404) 399-3530
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Mental Health Clinic/Center
- Duluth, GA
- NPI 1639684533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1962866814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 711",
"city": "DULUTH",
"state": "GA",
"postal_code": "300960013",
"telephone_number": "770-696-0837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 SATELLITE BLVD STE 400",
"city": "DULUTH",
"state": "GA",
"postal_code": "300974927",
"telephone_number": "770-696-0837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "TAMELA",
"middle_name": "RENEE",
"name_prefix": "Miss",
"credential": "LPC, CPCS, LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-07",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC009009",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC009009",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "LCMHC19310",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.