Active NPI
Sharon S McClure, LPC
- Mental Health Counselor
- Lufkin, TX
National Provider Identifier
1215150248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 59867
- Practice address
- 501 Mantooth Ave
Lufkin, TX 75904-3014 - Phone
- (936) 639-4993
- Fax
- (936) 639-6838
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 59867 | TX | Primary |
Addresses
Primary practice location
501 Mantooth Ave
Lufkin, TX 75904-3014
Mailing address
501 Mantooth Ave
Lufkin, TX 75904-3014
Phone (936) 639-4993
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85310L | Other | BLUE CROSS/BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59867 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clark Psychological & Consultation PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Lufkin, TX
- NPI 1841284155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1215150248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 MANTOOTH AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043014",
"telephone_number": "936-639-4993",
"fax_number": "936-639-6838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MANTOOTH AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043014",
"telephone_number": "936-639-4993",
"fax_number": "936-639-6838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLURE",
"first_name": "SHARON",
"middle_name": "S",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "59867",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "85310L",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.