Kimberly Deanna McClannahan, LPC, ATR-BC, RPT-S,

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC006713 Issued in GA

Practice address

9226 Sunstone Dr
Colorado Springs, CO 80924-4225

Phone

(678) 522-5227

NPI assigned

May 8, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 1, 2024 through May 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Creative Hope Counseling LLC

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1659098598
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1073872206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9226 SUNSTONE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809244225",
            "telephone_number": "678-522-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9226 SUNSTONE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809244225",
            "telephone_number": "678-522-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLANNAHAN",
        "first_name": "KIMBERLY",
        "middle_name": "DEANNA",
        "credential": "LPC, ATR-BC, RPT-S,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "RPT-S-S1805",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0011396",
            "primary": false
        },
        {
            "code": "2080C0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": "12-136",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Nan McCay, RN
• Jasminn Nishelle McChriston
• Ty'Anna McChriston
• Brooke McClain
• Jaleigh McClanahan
• Beonee McClarin Allen
• Natasha Kylee McClarren
• Princess McClatchey, RBT
• Kristi McCleary, NP
• Nyaisha Monet' McCleave

• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.

Verify at the official NPI Registry.