Individual provider Active NPI

Emily Sue McClenahan, MA, NCC, LCMHC

  • Counselor
  • Gastonia, NC
National Provider Identifier
1629315148
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
9862 Issued in NC
Practice address
3434 S New Hope Rd Ste E
Gastonia, NC 28056-8324
Phone
(704) 740-6140
NPI assigned
Jan 4, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 9862 NC Primary

Addresses

Primary practice location

3434 S New Hope Rd Ste E
Gastonia, NC 28056-8324

Mailing address

PO Box 1963
Lincolnton, NC 28093-1963
Phone (704) 740-6140

Other practice location 1

121 W Statesville Ave
Mooresville, NC 28115-2213
Phone (704) 740-6140

Other practice location 2

603 Cox Rd Ste C
Gastonia, NC 28054-3432
Phone (704) 740-6140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 7, 2024 through May 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
9862NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nurturing Wellness Counseling Services, PLLC CurrentSince Oct 11, 2020 Accepting new patients

Locations

603 Cox Rd
Ste C
Gastonia, NC 28054
Phone (704) 740-6140

3434 S New Hope Rd
Ste E
Gastonia, NC 28056
Phone (704) 740-6140

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": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629315148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1963",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280931963",
            "telephone_number": "704-740-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 S NEW HOPE RD STE E",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280568324",
            "telephone_number": "704-740-6140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 W Statesville Ave",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281152213",
            "country_code": "US",
            "telephone_number": "704-740-6140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 Cox Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280543432",
            "country_code": "US",
            "telephone_number": "704-740-6140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLENAHAN",
        "first_name": "EMILY",
        "middle_name": "SUE",
        "credential": "MA, NCC, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2022-07-21",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "9862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.