Active NPI
Karen McCollough, NCC, LPC
- Addiction (Substance Use Disorder) Counselor
- Cleveland, OH
National Provider Identifier
1316366123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LICDC.162152
- Practice address
- 2322 E 22ND St Ste 200
Cleveland, OH 44115-3100 - Phone
- (216) 363-2570
- NPI assigned
- Apr 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 330111 | OH | |
| Professional Counselor | 101YP2500X | C.1300153 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.162152 | OH | Primary |
Addresses
Primary practice location
2322 E 22ND St Ste 200
Cleveland, OH 44115-3100
Mailing address
3737 Lander Rd
Pepper Pike, OH 44124-5712
Phone (216) 831-2255
Other practice location 1
3737 Lander Rd
Pepper Pike, OH 44124-5712
Phone (216) 831-2255 ext. 2279
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2871101 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 330111 | OH | MD | Counselor |
| LICDC.162152 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| C.1300153 | OH | MD | Professional Counselor |
Interoperability endpoints
- karen.mccollough.p1@direct.neon.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1316366123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 LANDER RD",
"city": "PEPPER PIKE",
"state": "OH",
"postal_code": "441245712",
"telephone_number": "216-831-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2322 E 22ND ST STE 200",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441153100",
"telephone_number": "216-363-2570"
}
],
"practiceLocations": [
{
"address_1": "3737 Lander Rd",
"address_purpose": "LOCATION",
"city": "Pepper Pike",
"state": "OH",
"postal_code": "441245712",
"country_code": "US",
"telephone_number": "216-831-2255 x2279",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCOLLOUGH",
"first_name": "KAREN",
"name_prefix": "Mrs.",
"credential": "NCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-09",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "330111",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.1300153",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC.162152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2871101",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.