Individual provider Active NPI

Amy McClung, LADC/MH

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1861166878
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1455
Practice address
3033 NW 63Rd St Ste E200
Oklahoma City, OK 73116-3633
Phone
(405) 849-9041
Fax
(405) 286-0491
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1455 Primary

Addresses

Primary practice location

3033 NW 63Rd St Ste E200
Oklahoma City, OK 73116-3633

Mailing address

PO Box 20624
Oklahoma City, OK 73156-0624
Phone (405) 849-9041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250707002556 OK Practitioner - Mental Health Counselor 3577077148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Slate Recovery, LLCGroup PAC ID 5597279240, 4 clinicians

Practice addresses (Care Compare)

3033 NW 63Rd St
Suite E200
Oklahoma City, OK 73116-3633
Phone (405) 849-9041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1455OKMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Slate Recovery, LLC Addiction (Substance Use Disorder) CurrentSince Jun 1, 2025 Accepting new patients

Locations

3033 NW 63rd St
Ste E200
Oklahoma City, OK 73116
Phone (405) 254-5228

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1861166878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20624",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731560624",
            "telephone_number": "405-849-9041",
            "fax_number": "405-286-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 NW 63RD ST STE E200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163633",
            "telephone_number": "405-849-9041",
            "fax_number": "405-286-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLUNG",
        "first_name": "AMY",
        "credential": "LADC/MH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "1455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.