Martin McClenon, LPC,LCDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

86636 Issued in TX

Practice address

1801 Gateway Blvd Ste 219
Richardson, TX 75080-3626

Phone

(214) 235-8403

Fax

(972) 363-2392

NPI assigned

Nov 15, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  TX

  Medicare reassignment NPD
• Angels on the Horizon Therapeutic Center, LLC

  • Counselor
  • Killeen, TX
  • NPI 1780067090
  NPD (past)

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1184333510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 STANFORD DR",
            "city": "LUCAS",
            "state": "TX",
            "postal_code": "750021407",
            "telephone_number": "214-235-8403",
            "fax_number": "972-363-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 GATEWAY BLVD STE 219",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803626",
            "telephone_number": "214-235-8403",
            "fax_number": "972-363-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENON",
        "first_name": "MARTIN",
        "credential": "LPC,LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15762",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "86636",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "86636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "true2lifecounseling@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1801 Gateway Blvd Ste 219",
            "city": "Richardson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750803626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anthony William McCarthy, PHARM.D.
• Roderick Patrick McCarthy, MD
• Margaret Blaire McCarty, CCC-SLP
• Laura M McCauley, SLP
• Melanie B McClendon
• Carol Y. McColl, M.A., L.P.C.
• Ronald Cleo McConnell, DDS, MSD
• Mark C McCormick, D.M.D.
• Christina McCoy
• Kelley McCoy, LPC

• Professional Counselor in Richardson, TX
• Providers in Richardson, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.

Verify at the official NPI Registry.