Active NPI
Miran H. McClendon, LCADC, LPCC
- Mental Health Counselor
- Crittenden, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 172295
- Practice address
- 405 Violet Rd
Crittenden, KY 41030-8956 - Phone
- (859) 301-5901
- Fax
- (859) 301-5940
- NPI assigned
- Jan 13, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 165248 | KY | |
| Mental Health Counselor | 101YM0800X | 172295 | KY | Primary |
Addresses
Primary practice location
405 Violet Rd
Crittenden, KY 41030-8956
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 301-5901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100504000 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240214002468 | KY | Practitioner - Mental Health Counselor | 0941644223 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Medical Group Inc
Practice addresses (Care Compare)
405 Violet Rd
Crittenden, KY 41030-8956
Phone (859) 428-1610
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Mental Health | Current | Accepting new patients |
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| Prospering Counseling & Consulting LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
351 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 572-2000
405 Violet Rd
Crittenden, KY 41030
Phone (859) 428-1610
100 Blackburn Ln
Dry Ridge, KY 41035
Phone (859) 823-5441
4122 Wahl Street Blvd
Ste 15
Louisville, KY 40218
Phone (502) 290-1288
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Organizations & group practices 12
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.
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Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1871982926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635283",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "859-301-5901",
"fax_number": "859-301-5940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 VIOLET RD",
"city": "CRITTENDEN",
"state": "KY",
"postal_code": "410308956",
"telephone_number": "859-301-5901",
"fax_number": "859-301-5940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLENDON",
"first_name": "MIRAN",
"middle_name": "H.",
"credential": "LCADC, LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-13",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "165248",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "172295",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100504000",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crittenden, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.