Active NPI
Michael L. McGaugh, LPC
- Professional Counselor
- Independence, MO
National Provider Identifier
1346777539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2012019367
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2012019367 | MO | MD | Professional 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.