Joseph Michael McClung, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5212 Issued in NC

Practice address

5501 Executive Center Dr
Suite 220
Charlotte, NC 28212-8866

Phone

(704) 493-1003

Fax

(866) 219-1960

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Joseph M McClung

  • Professional Counselor
  • Charlotte, NC
  • NPI 1952450900
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1255480281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8403 EARLHAM CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771836",
            "telephone_number": "704-493-1003",
            "fax_number": "704-537-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 EXECUTIVE CENTER DR",
            "address_2": "SUITE 220",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128866",
            "telephone_number": "704-493-1003",
            "fax_number": "866-219-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLUNG",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5212",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "5212",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103149",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005849",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McCloud Acosta Clinical Services PLLC
• Rebecca McClough, PA-C
• Sarah E. McCloy, NP
• Mary Ann McClucas, PHARM.D.
• Diane McClung
• Daniel McClure
• Kathleen McClure, PA
• Kristen McClure, LCSW
• Stephen Paul McClure, MD
• Theresa Joanne McClure, CRNA

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.