Individual provider Active NPI

Kim McClanahan, MED, LPC, LPCC

  • Professional Counselor
  • Chapmanville, WV
National Provider Identifier
1609643030
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2980 Issued in WV
Practice address
594 S Main St
Chapmanville, WV 25508
Phone
(304) 855-1222
Fax
(304) 310-2307
NPI assigned
Dec 6, 2023
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2980 WV
Professional Counselor 101YP2500X 291218 KY
Professional Counselor 101YP2500X 2980 WV Primary

Addresses

Primary practice location

594 S Main St
Chapmanville, WV 25508

Mailing address

PO Box 4013
Chapmanville, WV 25508
Phone (304) 855-1222

Other practice location 1

93 McClanahan Ln
Delbarton, WV 25670-1506
Phone (304) 784-4968

Other names 1

  • Mrs. Susan Kimberly McClanahan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20240925000760 WV Practitioner - Mental Health Counselor 4486195807 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
2980WVMDMental Health Counselor
291218KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Mental Health CurrentSince Jul 1, 2025 Accepting new patients

Locations

204 8th St
Marlinton, WV 24954
Phone (202) 803-7979

Interoperability endpoints

  • Direct secure messaging: susan.mcclanahan.1@16636.direct.athenahealth.com

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, 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": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1609643030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4013",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "25508",
            "telephone_number": "304-855-1222",
            "fax_number": "304-310-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 S MAIN ST",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "25508",
            "telephone_number": "304-855-1222",
            "fax_number": "304-310-2307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "93 McClanahan Ln",
            "address_purpose": "LOCATION",
            "city": "Delbarton",
            "state": "WV",
            "postal_code": "256701506",
            "country_code": "US",
            "telephone_number": "304-784-4968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLANAHAN",
        "first_name": "KIM",
        "name_prefix": "Mrs.",
        "credential": "MED, LPC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "2980",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "291218",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MCCLANAHAN",
            "middle_name": "KIMBERLY",
            "prefix": "MRS.",
            "credential": "MED, LPC, LPCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chapmanville, WV

Sources for this page

Verify at the official NPI Registry.