CHRISTOPHER ANDREW CLAN
NPI 1245730910
Counselor in Radcliff, KY

Q: What is Christopher Clan's NPI number?

The NPI number for Christopher Clan is 1245730910. It was assigned to this individual provider in the NPPES registry on February 19, 2018.

Q: What is Christopher Clan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Christopher Clan was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 19, 2018PECOS Enrolled

1072 S DIXIE BLVD, RADCLIFF, KY 40160(270) 351-8166(270) 351-8322 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Christopher Andrew Clan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTOPHER ANDREW CLAN (NPI 1245730910) is an individual counselor in Radcliff, Kentucky and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1245730910

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameCHRISTOPHER ANDREW CLAN

Location Address1072 S DIXIE BLVDRadcliff, KY 40160-1103

Mailing Address107 Cranes Roost CtElizabethtown, KY 42701-3650 · (270) 765-2605 · Fax (270) 234-8572

Phone(270) 351-8166

Fax(270) 351-8322

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 19, 2018

Last NPPES UpdateFebruary 12, 2024

NPPES CertifiedFebruary 12, 2024

✔ NPI 1245730910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 272176 (KY)

1072 S DIXIE BLVD, Radcliff, KY 40160

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christopher Andrew Clan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385097617

PECOS Enrollment IDI20240201004449

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDEW JAMES KING

Psychologist