Active NPI
Kortney D Clamucha, LAC
- Mental Health Counselor
- Springdale, AR
National Provider Identifier
1043014244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A2606006
- Practice address
- 2466 S 48TH St
Springdale, AR 72762-6683 - Phone
- (479) 750-2020
- Fax
- (479) 750-2747
- NPI assigned
- Apr 4, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A2606006 | AR | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
2466 S 48TH St
Springdale, AR 72762-6683
Mailing address
2400 S 48TH St
Springdale, AR 72762-6683
Phone (479) 750-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 338104795 | Medicaid | AR |
Other names 1
- Kortney D. Toellner
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1043014244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S 48TH ST",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727626683",
"telephone_number": "479-750-2020",
"fax_number": "479-750-2747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2466 S 48TH ST",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727626683",
"telephone_number": "479-750-2020",
"fax_number": "479-750-2747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAMUCHA",
"first_name": "KORTNEY",
"middle_name": "D",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-04",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A2606006",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "338104795",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KORTNEY",
"last_name": "TOELLNER",
"middle_name": "D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.