Adam Blake McCloud, LPC-MHSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4653 Issued in TN

Practice address

609 Hamilton St
Johnson City, TN 37604-5403

Phone

(423) 863-0280

NPI assigned

Sep 23, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Guiding Star Mental Health

  • Community/Behavioral Health Agency
  • Antioch, TN
  • NPI 1518716414

  Mental Health

  Medicare reassignment NPD
• Counseling and Consultaion Services, Inc.

  • Mental Health Counselor
  • Limestone, TN
  • NPI 1316035157
  NPD (past)
• The Middle Path

  • Community/Behavioral Health Agency
  • Knoxville, TN
  • NPI 1225404031
  NPD (past)

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1265083125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 OLD SNAPPS FERRY RD",
            "city": "CHUCKEY",
            "state": "TN",
            "postal_code": "376414241",
            "telephone_number": "423-863-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 HAMILTON ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045403",
            "telephone_number": "423-863-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOUD",
        "first_name": "ADAM",
        "middle_name": "BLAKE",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-23",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "4653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Nicole McCartt, LCSW
• Michael Gregory McClain, MSPT
• Morgan Wade McClain, M.D.,
• Paige McClear, DO
• Debra McClellan, LDN
• Blair McCloud, APRN
• Elizabeth Lauren McCloud, NP
• Gregory Paulin McCloud, DPT
• Linda J McClure, FNP
• Mark A McCommons, MD

• Mental Health Counselor in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.