NPI age
20 years
Enumerated 2006-03-31
● Active
Type 1 · Individual
MR. Shane M Clubb, M.A., L.C.P.C.
Clubb is 1 of 183 counselor providers in Meridian and 1 of 1998 in Idaho.
Primary specialty
Counselor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-12-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1998 active counselor providers in Idaho.
NPI age
20 years
↑ 13 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-03Enumerated in NPPES
2006
2026
Where they practice
Practice location
39 E State Ave
Meridian, ID 836422342
Mailing address
39 E State Ave
Meridian, ID 836422342
Specialties
-
Counselor PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
Recently enumerated nearby: 13 new counselor providers have been added in Meridian in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.