Active NPI
Kathy McClenahan, M.A.
- Professional Counselor
- Orlando, FL
National Provider Identifier
1740732593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- IMH 12394
- Practice address
- 1964 Howell Branch Road
Suite 106
Orlando, FL 32732 - Phone
- (407) 734-1014
- NPI assigned
- Oct 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IMH 12394 | FL | Primary |
Addresses
Primary practice location
1964 Howell Branch Road
Suite 106
Orlando, FL 32732
Mailing address
15237 Trieste St
Orlando, FL 32828-6744
Phone (321) 297-0533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH 12394 | FL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1740732593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15237 TRIESTE ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328286744",
"telephone_number": "321-297-0533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1964 HOWELL BRANCH ROAD",
"address_2": "SUITE 106",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32732",
"telephone_number": "407-734-1014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLENAHAN",
"first_name": "KATHY",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-27",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "IMH 12394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.