Michael McCoy, MA, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

PO Box 3302
Knoxville, TN 37927-3302

Phone

(720) 307-6564

NPI assigned

Apr 3, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2026 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Clear Way Counseling LLC

  • Mental Health Counselor
  • Boulder, CO
  • NPI 1043922818
  NPD Authorized official

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1629530100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3302",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37927",
            "telephone_number": "720-307-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 3302",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379273302",
            "telephone_number": "720-307-6564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 W Springdale Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379175158",
            "country_code": "US",
            "telephone_number": "720-307-6564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 3302",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379273302",
            "country_code": "US",
            "telephone_number": "720-307-6564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4501 Amnicola Hwy",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374061018",
            "country_code": "US",
            "telephone_number": "720-307-6564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "MICHAEL",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M. McCoy, D.D.S.
• Jennifer Michelle McCoy
• Kara McCoy, PT, DPT
• Lynna McCoy, MS
• Mark McCoy
• Mary Elizabeth McCrackin, PHARMD
• Laura Katherine McCrary
• Terri McCrary, LPN
• Theodore W McCrary, PAC
• Valerie Eileen McCrary, LPN

• Counselor in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.