Individual provider Active NPI

Michele Lynne Clary, LPC

  • Professional Counselor
  • Laurie, MO
National Provider Identifier
1376050849
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2018002976 Issued in MO
Practice address
162 Missouri Boulevard
Suite C
Laurie, MO 65038
Phone
(573) 207-4901
Fax
(573) 207-4921
NPI assigned
Jan 5, 2018
Last updated
Apr 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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 2018002976 MO Primary

Addresses

Primary practice location

162 Missouri Boulevard
Suite C
Laurie, MO 65038

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131

Other names 1

  • Michele Lynne Chorpening Former name

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
I20231211001826 MO Practitioner - Mental Health Counselor 6406276070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richland Medical Center, Inc.Group PAC ID 2062554025, 29 clinicians

Practice addresses (Care Compare)

401 N Main St
Gravois Mills, MO 65037-6253
Phone (877) 406-2662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Medical Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Healing Connections Counseling Center, LLC CurrentSince Nov 15, 2019 Accepting new patients
Richland Medical Center, Inc. Current Accepting new patients

Locations

3870 Columbia Ave
Osage Beach, MO 65065
Phone (573) 302-7490

304 W Washington Ave
Richland, MO 65556
Phone (573) 765-5131

17019 N State Highway 5
Sunrise Beach, MO 65079

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1376050849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-885-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 MISSOURI BOULEVARD",
            "address_2": "SUITE C",
            "city": "LAURIE",
            "state": "MO",
            "postal_code": "65038",
            "telephone_number": "573-207-4901",
            "fax_number": "573-207-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARY",
        "first_name": "MICHELE",
        "middle_name": "LYNNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2018002976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "CHORPENING",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laurie, MO

Sources for this page

Verify at the official NPI Registry.