MR. SHANE M CLUBB (M.A., L.C.P.C.) – Mental Health Counselor, NPI 1871554584

Mental Health Counselor

MR. SHANE M CLUBB (M.A., L.C.P.C.) is a healthcare provider. based in Meridian, Idaho. specializing in Mental Health Counselor. They hold the professional credentials M.A., L.C.P.C.. They hold a License No. LCPC-3989 (ID). The NPI Number for MR. SHANE M CLUBB (M.A., L.C.P.C.) is 1871554584

Main info

Male

Name

MR. SHANE M CLUBB (M.A., L.C.P.C.)

NPI

1871554584

Phone

(208) 994-3599

Address

39 E STATE AVE

Enumeration Date

31 March 2006

Last Update Date

10 December 2012

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. SHANE M CLUBB (M.A., L.C.P.C.)

East State Avenue, Meridian, Ada County, Idaho, 83642, United States
MERIDIAN, ID 836422342
Phone: (208) 994-3599
Fax: (208) 473-2206
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83642)

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Reviews

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Frequently asked questions

What identifier follows MR. SHANE M CLUBB (M.A., L.C.P.C.) across health systems?

The NPI 1871554584 uniquely identifies MR. SHANE M CLUBB (M.A., L.C.P.C.) in U.S. healthcare data.

Should I treat MR. SHANE M CLUBB (M.A., L.C.P.C.) as an active provider?

Patients and plans typically see MR. SHANE M CLUBB (M.A., L.C.P.C.) as active in the national extract.

What does the directory say MR. SHANE M CLUBB (M.A., L.C.P.C.) does?

Insurance directories may phrase it differently, but here MR. SHANE M CLUBB (M.A., L.C.P.C.) maps to Mental Health Counselor. Clinical services aligned with this taxonomy classification.

Which community is linked to MR. SHANE M CLUBB (M.A., L.C.P.C.)?

MR. SHANE M CLUBB (M.A., L.C.P.C.) shows a connection to Meridian, Idaho in registry-derived data.

What is the difference between NPI and a medical license?

An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.