Individual provider Active NPI

Anna E McClaugherty, M.A., LPC

  • Mental Health Counselor
  • Flagstaff, AZ
National Provider Identifier
1316297922
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-18604 Issued in AZ
Practice address
1823 N Center St Ste 203
Flagstaff, AZ 86004-4184
Phone
(928) 607-2549
NPI assigned
Sep 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 18604 AZ
Mental Health Counselor 101YM0800X 9560 NC
Mental Health Counselor 101YM0800X LPC-18604 AZ Primary

Addresses

Primary practice location

1823 N Center St Ste 203
Flagstaff, AZ 86004-4184

Mailing address

1823 N Center St Ste 203
Flagstaff, AZ 86004-4184
Phone (928) 607-2549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20240730004618 AZ Practitioner - Mental Health Counselor 2264979970 Practice locations: Flagstaff, AZ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1823 N Ctr St
Suite 203
Flagstaff, AZ 86004-4184
Phone (928) 607-2549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
18604AZMDCounselor
9560NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anna E McClaugherty Mental Health CurrentSince Jun 1, 2024 Accepting new patients

Locations

1823 N Center St
Ste 203
Flagstaff, AZ 86004
Phone (928) 607-2549

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.

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1316297922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 N CENTER ST STE 203",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860044184",
            "telephone_number": "928-607-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 N CENTER ST STE 203",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860044184",
            "telephone_number": "928-607-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAUGHERTY",
        "first_name": "ANNA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "18604",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9560",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-18604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.