Adam Blake Mccloud, LPC-MHSP in Johnson City, TN

Adam Blake Mccloud, LPC-MHSP is a medicare enrolled "Counselor - Mental Health" provider in Johnson City, Tennessee. His current practice location is 609 Hamilton St, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 863-0280.

Adam Blake Mccloud is licensed to practice in Tennessee (license number 4653) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265083125.

Contact Information

	Adam Blake Mccloud, LPC-MHSP
	609 Hamilton St, Johnson City, TN 37604-5403
	(423) 863-0280
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Adam Blake Mccloud
Gender	Male
Speciality	Counselor - Mental Health
Location	609 Hamilton St, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265083125
Provider Enumeration Date: 09/23/2019
Last Update Date: 08/27/2020

Medicare PECOS Information:

PECOS PAC ID: 0749719169
Enrollment ID: I20250129002323

Medical Identifiers

Medical identifiers for Adam Blake Mccloud such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265083125	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	4653 (Tennessee)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Adam Blake Mccloud allows following entities to bill medicare on his behalf.

Entity Name	Guiding Star Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518716414 PECOS PAC ID: 1850825720 Enrollment ID: O20241114002167

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Adam Blake Mccloud is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Adam Blake Mccloud, LPC-MHSP 1362 Old Snapps Ferry Rd, Chuckey, TN 37641-4241 Ph: (423) 863-0280	Adam Blake Mccloud, LPC-MHSP 609 Hamilton St, Johnson City, TN 37604-5403 Ph: (423) 863-0280

Reviews and Comments

Counselor in Johnson City, TN

Mrs. Vicki Marie Britton, B.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601 Phone: 423-283-6556 Fax: 423-283-6550
Hayley Christian Henderson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 West Watauga Avenue, Watauga C&y, Johnson City, TN 37604 Phone: 423-232-2600 Fax: 423-467-3644
Matthew M Midkiff, LPC, MHSP Counselor Medicare: Medicare Enrolled Practice Location: 109 W Watauga Ave, Johnson City, TN 37604 Phone: 423-232-2600 Fax: 423-467-3644
Neil Stoltzfus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 926 W Oakland Ave Ste 202, Johnson City, TN 37604 Phone: 423-850-1150
Michael Arthur Benoit, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601 Phone: 423-283-6500 Fax: 423-283-6550
Dr. Nicholas Porta, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2514 1/2 Wesley St Ste 2, Johnson City, TN 37601 Phone: 423-529-0385 Fax: 423-414-2699
Jessica Cabe, LPC-MHSP Counselor Medicare: Medicare Enrolled Practice Location: 3114 Browns Mill Rd, Johnson City, TN 37604 Phone: 423-631-0432

Adam Blake Mccloud, LPC-MHSP - Medicare Counselor in Johnson City, TN