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MR. SHANE M CLUBB M.A., L.C.P.C.
NPI 1871554584
Counselor - Mental Health in Meridian, ID

Active since March 31, 2006
39 E STATE AVE, MERIDIAN, ID 83642(208) 994-3599(208) 473-2206 Get Directions Write a Review

NPPES record last updated: December 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Shane M Clubb M.a., L.c.p.c. NPPES

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

MR. SHANE M CLUBB M.A., L.C.P.C. (NPI 1871554584) is an individual mental health provider in Meridian, Idaho, licensed in Idaho (LCPC-3989) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1871554584
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. SHANE M CLUBBCredential: M.A., L.C.P.C.
Location Address39 E STATE AVEMeridian, ID 83642-2342
Mailing Address39 E State AveMeridian, ID 83642-2342 · (208) 994-3599 · Fax (208) 473-2206
Phone(208) 994-3599
Fax(208) 473-2206
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateDecember 10, 2012
✔ NPI 1871554584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · LCPC-3989
39 E STATE AVE, Meridian, ID 83642
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Other Providers at the Same Location NPPES 6

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

LISA DELUCA COUNSELING, PLLC
Community/Behavioral Health
39 E STATE AVE
MERIDIAN, ID 83642
Ada County (208) 917-2077
KRISTINA LARAE PALMER LCPC CEDS
Counselor (Mental Health)
39 E STATE AVE
MERIDIAN, ID 83642
Ada County (208) 392-2762
STACEY DENISE SEITZ LPC, NCC
Counselor (Mental Health)
39 E STATE AVE
MERIDIAN, ID 83642
Ada County (208) 860-4148
MR. RAY ALLEN WARD LCPC
Counselor (Professional)
39 E STATE AVE
MERIDIAN, ID 83642
Ada County (208) 703-6427
WEIGHTLESS MINDS COUNSELING, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
39 E STATE AVE
MERIDIAN, ID 83642
Ada County (208) 703-6427
STATE AVENUE OFFICES
Clinic/Center (Adult Mental Health)
39 E STATE AVE
MERIDIAN, ID 83642
Ada County (208) 994-3599

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Clubb's NPI number?

The NPI number for Shane Clubb is 1871554584. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Shane Clubb located?

Shane Clubb practices at 39 E State Ave, Meridian, ID 83642. The listed phone number is (208) 994-3599.

What is Shane Clubb's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Shane Clubb accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Shane Clubb as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shane Clubb was last updated on December 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.