Individual provider Active NPI

Tanya Lisette McClung

  • Counselor
  • Hinton, WV
National Provider Identifier
1548794852
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
313 Maple St
Hinton, WV 25951-2629
Phone
(304) 952-0064
NPI assigned
Apr 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

313 Maple St
Hinton, WV 25951-2629

Mailing address

313 Maple St
Hinton, WV 25951-2629
Phone (304) 952-0064

Other practice location 1

8040 Georgia Ave Ste 170
Silver Spring, MD 20910-4959
Phone (202) 360-4787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240116003747 DC Practitioner - Mental Health Counselor 7517319411 Reassigns benefits to 1 organization
I20240208003241 MD Practitioner - Mental Health Counselor 7517319411 Reassigns benefits to 1 organization
I20240516003712 NC Practitioner - Mental Health Counselor 7517319411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Axis Healthcare GroupGroup PAC ID 1254409550, 76 clinicians

Practice addresses (Care Compare)

1117 E W Hwy
Silver Spring, MD 20910-4852
Phone (202) 360-4787

1150 Varnum St NE
Washington, DC 20017-2180
Phone (202) 360-4787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MCS, PC CurrentSince Apr 5, 2024 Accepting new patients
Axis Healthcare Group CurrentSince Jan 1, 2024 Accepting new patients

Locations

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

8040 Georgia Ave
Ste 170
Silver Spring, MD 20910
Phone (301) 284-0207

4515 Falls of Neuse Rd
Raleigh, NC 27609
Phone (919) 238-6760

Organizations & group practices 2

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": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1548794852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 MAPLE ST",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "259512629",
            "telephone_number": "304-952-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MAPLE ST",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "259512629",
            "telephone_number": "304-952-0064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8040 Georgia Ave Ste 170",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209104959",
            "country_code": "US",
            "telephone_number": "202-360-4787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLUNG",
        "first_name": "TANYA",
        "middle_name": "LISETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinton, WV

Sources for this page

Verify at the official NPI Registry.