Janis B. McClure, LPC

Individual provider Active NPI Counselor · Mt Pleasant, TX

NPI 1043464563 · NPPES record last updated Nov 11, 2008

Key facts

NPI
1043464563
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
License
11104 (TX)
Practice address
2230 N Edwards Ave
Mt Pleasant, TX 75455-2036
Phone
(903) 572-8551
Fax
(903) 575-2630
NPI assigned
Nov 11, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11104TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Region 8 Education Service Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 11104 TX Yes

Addresses

Primary practice location

2230 N Edwards Ave
Mt Pleasant, TX 75455-2036

Mailing address

PO Box 1894
Mt Pleasant, TX 75456-1894
Phone (903) 572-8551

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 11, 2008.

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1043464563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1894",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754561894",
            "telephone_number": "903-572-8551",
            "fax_number": "903-575-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 N EDWARDS AVE",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552036",
            "telephone_number": "903-572-8551",
            "fax_number": "903-575-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "JANIS",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "11104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, TX

All providers in Mt Pleasant, TX · Counselor in Texas

Sources for this page

Verify at the official NPI Registry.