Patricia Diane McCourt

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1632 Issued in KS

Practice address

455 SE Golf Park Blvd Ste 121
Topeka, KS 66605-2862

Phone

(785) 783-2535

NPI assigned

Jun 12, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Patricia Diane Cluck Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sent, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Topeka, KS
  • NPI 1386251429
  NPD

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1437833324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SE GOLF PARK BLVD STE 121",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666052862",
            "telephone_number": "785-783-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SE GOLF PARK BLVD STE 121",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666052862",
            "telephone_number": "785-783-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOURT",
        "first_name": "PATRICIA",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "1632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "CLUCK",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren McClure, PHARMD
• Tiffany E McClure
• Shannon Leigh McCollum, OTR/L
• Ann M McConkey, ARNP-C
• Owen F McCourt, CADC
• Mark J McCoy, D.C.
• Mary L. McCoy, OT
• Michael T McCoy, MD
• Parker McCoy, LMSW
• Skyler Lee McCoy, DDS

• Addiction (Substance Use Disorder) Counselor in Topeka, KS
• Providers in Topeka, KS by specialty
• Addiction (Substance Use Disorder) Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.