Individual provider Active NPI

Megan McLearon, MA, LPC, NCC

  • Professional Counselor
  • Manistee, MI
National Provider Identifier
1114349206
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401012500 Issued in MI
Practice address
50 Filer St
Suite 210G
Manistee, MI 49660-2726
Phone
(231) 907-2412
Fax
(877) 825-1865
NPI assigned
Jan 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401012500 MI Primary

Addresses

Primary practice location

50 Filer St
Suite 210G
Manistee, MI 49660-2726

Mailing address

50 Filer St
Suite 210G
Manistee, MI 49660-2726
Phone (231) 907-2412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131003591 MI Practitioner - Mental Health Counselor 5890148365 Practice locations: Manistee, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1114349206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 FILER ST",
            "address_2": "SUITE 210G",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602726",
            "telephone_number": "231-907-2412",
            "fax_number": "877-825-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FILER ST",
            "address_2": "SUITE 210G",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602726",
            "telephone_number": "231-907-2412",
            "fax_number": "877-825-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEARON",
        "first_name": "MEGAN",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-09",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401012500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manistee, MI

Sources for this page

Verify at the official NPI Registry.