Active NPI
Christienne Morse McClure, LPC
- Professional Counselor
- Manassas, VA
National Provider Identifier
1003125667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701004917
- Practice address
- 9254 Mosby St
Suite B
Manassas, VA 20110-5038 - Phone
- (703) 895-5208
- Fax
- (888) 509-0859
- NPI assigned
- Sep 30, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCPC-3437 | ID | |
| Professional Counselor | 101YP2500X | 0701004917 | VA | Primary |
| Marriage & Family Therapist | 106H00000X | LMFT-3076 | ID |
Addresses
Primary practice location
9254 Mosby St
Suite B
Manassas, VA 20110-5038
Mailing address
9254 Mosby St
Suite B
Manassas, VA 20110-5038
Phone (703) 895-5208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12159648 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 4, 2025 through Feb 4, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-3437 | ID | MD | Mental Health Counselor |
| 0701004917 | VA | MD | Professional Counselor |
| LMFT-3076 | ID | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421712000000",
"number": "1003125667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9254 MOSBY ST",
"address_2": "SUITE B",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201105038",
"telephone_number": "703-895-5208",
"fax_number": "888-509-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9254 MOSBY ST",
"address_2": "SUITE B",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201105038",
"telephone_number": "703-895-5208",
"fax_number": "888-509-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLURE",
"first_name": "CHRISTIENNE",
"middle_name": "MORSE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-30",
"last_updated": "2015-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "LCPC-3437",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004917",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ID",
"license": "LMFT-3076",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12159648",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.