Cullena Jill McClanahan, M.S.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

41 W 5TH Ave
Williamson, WV 25661-3201

Phone

(304) 235-3390

NPI assigned

Aug 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Professional Counseling Associates, Inc.

  • Psychologist
  • Williamson, WV
  • NPI 1720143555
  NPD (past)

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1235619917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 LEFT FORK ELK CRK",
            "city": "DELBARTON",
            "state": "WV",
            "postal_code": "256707340",
            "telephone_number": "540-420-8881",
            "fax_number": "304-475-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 W 5TH AVE",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256613201",
            "telephone_number": "304-235-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLANAHAN",
        "first_name": "CULLENA",
        "middle_name": "JILL",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Brianne Maynard, BSW
• Kristina Maynard
• Stephanie Maynard
• Thomas Craig Maynard
• Brittany Leann McCallister
• Lisa Sue McCloud, FNP-BC
• Amber McCoy
• Geneva McCoy
• Joshua Tolbert McCoy, PRSS
• Larry Eugene McGuire

• School Psychologist in Williamson, WV
• Providers in Williamson, WV by specialty
• School Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.