Michelle McLain, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

002359 Issued in CT

Practice address

15 Sunset Ave
Old Saybrook, CT 06475-1427

Phone

(860) 876-0881

NPI assigned

Nov 23, 2010

Last updated

Sep 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• A Path to Change, LLC

  • Professional Counselor
  • Old Saybrook, CT
  • NPI 1427577022
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1083916076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SUNSET AVE",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751427",
            "telephone_number": "860-876-0881",
            "fax_number": "203-401-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SUNSET AVE",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751427",
            "telephone_number": "860-876-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAIN",
        "first_name": "MICHELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004235918",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia T. Matthew, PH.D.
• MC Diagnostic of Connecticut, P.C.
• James R McAraw, D.M.D.
• Amanda Rau McKenna
• Craig Edward McKnight, M.D.
• Kenyatia McLish, LMT
• Garth Eric Meadows, R.PH.
• Medical Center Pharmacy and Home Care Center, Inc. (Yale New Haven Health Pharmacy Old Saybrook Medical Center)
• Medoptions Behavioral Health Assoc, LLC
• Medoptions Behavioral Health Associates

• Professional Counselor in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.