Active NPI
Emmanuel McClellan
- Professional Counselor
- Liberty Township, OH
National Provider Identifier
1083477186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2507294
- Practice address
- 6770 Cincinnati Dayton Rd Ste 208
Liberty Township, OH 45044-9318 - Phone
- (513) 712-5146
- NPI assigned
- Feb 1, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.2507294 | OH | Primary |
Addresses
Primary practice location
6770 Cincinnati Dayton Rd Ste 208
Liberty Township, OH 45044-9318
Mailing address
7001 Ashwood CT
Springboro, OH 45066-9196
Phone (937) 475-0908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2507294 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1083477186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7001 ASHWOOD CT",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450669196",
"telephone_number": "937-475-0908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6770 CINCINNATI DAYTON RD STE 208",
"city": "LIBERTY TOWNSHIP",
"state": "OH",
"postal_code": "450449318",
"telephone_number": "513-712-5146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLELLAN",
"first_name": "EMMANUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-01",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2507294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty Township, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.