KIA D MCKINNEY (LCPC) – Professional Counselor, NPI 1093565541

KIA D MCKINNEY (LCPC) is a healthcare provider. based in Crofton, Maryland. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. LC17409 (MD). The NPI Number for KIA D MCKINNEY (LCPC) is 1093565541

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KIA D MCKINNEY (LCPC)
NPI
1093565541
Phone
(410) 757-2077
Address
1662 VILLAGE GRN STE 100
Enumeration Date
26 March 2024
Last Update Date
26 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4107572077
Graduation Year
2005 (21 years ago)
PAC ID
6901384072
Group Practice PAC ID
4981688173
Professional Enrollment ID
I20260129003781
Address ID
MD211142014CR1662XGRNX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:2State licenses:2Digital endpointsOther names

1,236 MENTAL HEALTH COUNSELOR in MD

Provider Addresses for KIA D MCKINNEY (LCPC)

  • 1662 VILLAGE GRN STE 100

    CROFTON, MD 211142014

    Phone: (410) 757-2077

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260129003781IMental Health CounselorMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981688173View full group profile
NameSpecialtyState
Clinical PsychologistMD
Clinical PsychologistMD
-MD
Clinical PsychologistMD
P S Y C H I A T R YPA
Nurse PractitionerMD
Nurse PractitionerMD
-MD
Mental Health CounselorMD
Clinical Social WorkerMD

Reviews

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Frequently asked questions

Is there an official ID for KIA D MCKINNEY (LCPC) in U.S. healthcare records?
The official identifier for KIA D MCKINNEY (LCPC) is NPI 1093565541.
Is KIA D MCKINNEY (LCPC) still an active registrant?
KIA D MCKINNEY (LCPC) carries an active NPI according to the public dataset.
What area of care is associated with KIA D MCKINNEY (LCPC)?
KIA D MCKINNEY (LCPC)'s record emphasizes Professional Counselor. Clinical services aligned with this taxonomy classification.
Where in Maryland is KIA D MCKINNEY (LCPC) registered?
Use Crofton, Maryland as the headline location for KIA D MCKINNEY (LCPC) here.
Does KIA D MCKINNEY (LCPC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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