Kristal Kae McCleary, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2016031786 Issued in MO

Practice address

3955 S Farm Road 223
Rogersville, MO 65742-8807

Phone

(417) 812-4440

NPI assigned

Aug 8, 2018

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Synergy Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Rogersville, MO
  • NPI 1326414350
  NPD (past)

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1922587252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 E REPUBLIC RD STE D",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046588",
            "telephone_number": "417-351-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 S FARM ROAD 223",
            "city": "ROGERSVILLE",
            "state": "MO",
            "postal_code": "657428807",
            "telephone_number": "417-812-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 E Republic Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658046588",
            "country_code": "US",
            "telephone_number": "417-351-4282 x102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLEARY",
        "first_name": "KRISTAL",
        "middle_name": "KAE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2016031786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lester E. Cox Medical Centers
• Logan Rogersville R-VIII
• Patrick Edward Macmillan, D.O.
• Gayla Manary
• Rebecca Jean McAtee, FNP-C
• McGuire Christian Counseling Inc
• Lisa Ann Melgren
• Megan Menton
• Kiana Rachelle Miller, FNP-C
• C. Denise Morgan-Irish, LCSW

• All providers in Rogersville, MO
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.