Michael E. McCluskey, LPC, LISAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-2374 Issued in AZ

Practice address

2187 Swanson Ave
Lake Havasu City, AZ 86403-6838

Phone

(928) 855-3432

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mohave Mental Health Clinic Inc

  • Clinic/Center
  • Lake Havasu City, AZ
  • NPI 1316023864
  NPD (past)
• Mohave Mental Health Clinic Inc

  • Community/Behavioral Health Agency
  • Kingman, AZ
  • NPI 1922275692
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1619910189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1309",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864051309",
            "telephone_number": "928-855-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2187 SWANSON AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036838",
            "telephone_number": "928-855-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLUSKEY",
        "first_name": "MICHAEL",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "LPC, LISAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-1414",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-2374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS #",
            "identifier": "615049",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Elizabeth Matthews, MA CCC SLP
• Lisa Marie McAfee, D.O.
• James B McBride, D.C.
• John McCabe II, P.T., DPT
• Dean E McCleve, CPO
• Nancy Womack McCoy, MA LPC
• Steven B McCraw
• Harrison Mark McDonald, D.O.
• Julie M. McGuire, PA-C
• Sherry L McGuire, LMT

• Professional Counselor in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.