MEDICARE: JOHN E MCDONALD JR. LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH534	FL

General Provider Information

NPI Number	:	1861605198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN E MCDONALD JR. LMHC

Provider Business Mailing Address
First Line	:	4800 N SCOTTSDALE RD STE 2500
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-7630
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4776 NEW BROAD ST STE 201
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32814-6423
Country	:	US
Telephone Number	:	833-769-3524
Fax Number	:	407-219-9624

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	05/18/2026

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