Michelle Renee Clanton, LCAS-A, MAC, B.B.A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

10508 Park Rd Ste 130
Charlotte, NC 28210-8526

Phone

(704) 874-0200

NPI assigned

Sep 2, 2021

Last updated

Apr 18, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NC

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

Credentials

Bachelor of Business Administration

Practice roles

Locations

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

• Amity Medical Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Charlotte, NC
  • NPI 1003301300
  Medicare reassignment
• Sea Change Counseling and Hope, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Indian Trail, NC
  • NPI 1588577597
  Authorized official Same address or phone
• Integrated Behavioral Healthcare Services, PA

  • Psychologist
  • Fayetteville, NC
  • NPI 1689842551
  NPD

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1295403368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 ANDREWS RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111156",
            "telephone_number": "910-624-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10508 PARK RD STE 130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108526",
            "telephone_number": "704-874-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2577 Ravenhill Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283035451",
            "country_code": "US",
            "telephone_number": "910-438-0947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLANTON",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "credential": "LCAS-A, MAC, B.B.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence A Clair, OT
• Tarsha Clamp, MSN,APRN,FNP-BC
• Marisa Colleen Clancy Larimer, D.O.
• Kala Clanton, LCMHC
• Karen Clanton, LPC
• Chassity Paulette Clapp, LCSW-A
• Clara Lucia Nunez-Romero, DDS PLLC (Dentist-Salud)
• Clara Lucia Nunez-Romero, DDS PLLC (Dentist-Salud)
• Timothy Patrick Clare, D.C.
• Clarity Counseling Services, Inc.

• Addiction (Substance Use Disorder) Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.