Individual provider Active NPI

Tamela Renee McDonald, LPC, CPCS, LCMHC

  • Professional Counselor
  • Duluth, GA
National Provider Identifier
1962866814
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC009009 Issued in GA
Practice address
2180 Satellite Blvd Ste 400
Duluth, GA 30097-4927
Phone
(770) 696-0837
NPI assigned
Apr 7, 2016
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LCMHC19310NCMDMental Health Counselor
LPC009009GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.