Active NPI
Angela Diane McClain, LCPC, LCAC
- Mental Health Counselor
- Topeka, KS
National Provider Identifier
1497052005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2329
- Practice address
- 1601 S.W 37TH Street
Topeka, KS 66611 - Phone
- (785) 228-5691
- Fax
- (785) 272-1522
- NPI assigned
- Feb 16, 2011
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1021 | NE | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1043 | KS | |
| Mental Health Counselor | 101YM0800X | 2506 | KS | |
| Mental Health Counselor | 101YM0800X | 1052 | NE | |
| Mental Health Counselor | 101YM0800X | 2014 | NE | |
| Mental Health Counselor | 101YM0800X | 001340 | IA | |
| Mental Health Counselor | 101YM0800X | 2329 | KS | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 536 | KS |
Addresses
Primary practice location
1601 S.W 37TH Street
Topeka, KS 66611
Mailing address
1601 S.W. 37TH Street
Topeka, KS 66611
Phone (785) 228-5691
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201086680A | Medicaid | KS |
Other names 1
- Angela Peavy-Butcher
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 |
|---|---|---|---|
| 001340 | IA | MD | Mental Health Counselor |
| 1043 | KS | MD | Professional Counselor |
| 2014 | NE | MD | Chiropractor |
| 1021 | NE | MD | Occupational Therapy Assistant |
| 2329 | KS | MD | Speech-Language Pathologist |
| 536 | KS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1497052005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 S.W. 37TH STREET",
"city": "TOPEKA",
"state": "KS",
"postal_code": "66611",
"telephone_number": "785-228-5691",
"fax_number": "785-272-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 S.W 37TH STREET",
"city": "TOPEKA",
"state": "KS",
"postal_code": "66611",
"telephone_number": "785-228-5691",
"fax_number": "785-272-1522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAIN",
"first_name": "ANGELA",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "LCPC, LCAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-16",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "1021",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "1043",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "2506",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1052",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2014",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "001340",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "2329",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KS",
"license": "536",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201086680A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "PEAVY-BUTCHER",
"credential": "LCPC, LCAC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.