Individual provider Active NPI

Michael L. McGaugh, LPC

  • Professional Counselor
  • Independence, MO
National Provider Identifier
1346777539
Registry record updated May 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2012019367 Issued in MO
Practice address
17844 E. 23Rd. St.
Independence, MO 64057-1840
Phone
(816) 254-3652
Fax
(816) 254-9243
NPI assigned
May 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2012019367 MO Primary

Addresses

Primary practice location

17844 E. 23Rd. St.
Independence, MO 64057-1840

Mailing address

17844 E. 23Rd. St.
Independence, MO 64057-1840
Phone (816) 254-3652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20260327003870 MO Practitioner - Mental Health Counselor 6507341468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1272 NE Windsor Dr
Lees Summit, MO 64086-5594

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012019367MOMDProfessional Counselor

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": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495065600000",
    "number": "1346777539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17844 E. 23RD. ST.",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571840",
            "telephone_number": "816-254-3652",
            "fax_number": "816-254-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17844 E. 23RD. ST.",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571840",
            "telephone_number": "816-254-3652",
            "fax_number": "816-254-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGAUGH",
        "first_name": "MICHAEL",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-18",
        "last_updated": "2017-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2012019367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.