Lavonda Lynn McClinton

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6681 Sorensen Pkwy
Omaha, NE 68152-2139

Phone

(402) 932-8884

NPI assigned

Jul 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lavonda Lynn McClinton-Wilson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1669034278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6681 SORENSEN PKWY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681522139",
            "telephone_number": "402-932-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6681 SORENSEN PKWY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681522139",
            "telephone_number": "402-932-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTON",
        "first_name": "LAVONDA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAVONDA",
            "last_name": "MCCLINTON-WILSON",
            "middle_name": "LYNN",
            "credential": "LAVONDA MCCLINTION",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Geraldine Lee McClenny
• Tyran McCleton
• Kristy Lee McClintock
• Ian L McClinton
• Jacob R McClinton
• Abby Elisabeth McCloskey, PTA
• Edward McCloskey, RN
• Kyle Brendon McCloskey, MD
• Samantha McCloud
• Abby McClure, OTR/L

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.