Active NPI
Rodric Montrell McClain, LIMHP
- Professional Counselor
- Lincoln, NE
National Provider Identifier
1114410271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2617
- Practice address
- 324 S 9TH St
Lincoln, NE 68508-2215 - Phone
- (402) 261-6470
- NPI assigned
- Jun 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 2617 | NE | Primary |
Addresses
Primary practice location
324 S 9TH St
Lincoln, NE 68508-2215
Mailing address
10016 S 186TH Ave
Omaha, NE 68136-6493
Phone (580) 647-5866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2727 S 144TH St
Suite 280
Omaha, NE 68144-5252
Phone (402) 745-1145
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2617 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Regional Health Services LLC | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
Locations
2727 S 144th St
Ste 280
Omaha, NE 68144
Phone (402) 745-1145
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4ed2ef3a-53e1-48ef-b364-a16c512d3488/
- rodricmcclain@tdh.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Omaha, NE
- NPI 1831125418
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697328000000",
"number": "1114410271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10016 S 186TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681366493",
"telephone_number": "580-647-5866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 S 9TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685082215",
"telephone_number": "402-261-6470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAIN",
"first_name": "RODRIC",
"middle_name": "MONTRELL",
"name_prefix": "Mr.",
"credential": "LIMHP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-12",
"last_updated": "2023-10-15",
"certification_date": "2023-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "2617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.