Individual provider Active NPI

Dennis A. Leclear, M.A., MED

  • Professional Counselor
  • Galesburg, MI
National Provider Identifier
1184844854
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401009362 Issued in MI
Practice address
10144 Castle Creek Cir
Galesburg, MI 49053-8642
Phone
(269) 370-2899
Fax
(269) 350-5733
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401009362 MI
Professional Counselor 101YP2500X 6401009362 MI Primary

Addresses

Primary practice location

10144 Castle Creek Cir
Galesburg, MI 49053-8642

Mailing address

10144 Castle Creek Cir
Galesburg, MI 49053-8642
Phone (269) 370-2899

Other practice location 1

4000 Portage St Ste 111
Kalamazoo, MI 49001-4962
Phone (269) 365-0128

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
Credentials
Master of Arts, Master of Education

State licenses

LicenseStateTypeSpecialty
6401009362MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
True2U Counseling LLP Mental Health CurrentSince Aug 1, 2021 Accepting new patients
This Day Counseling, LLC CurrentSince Aug 1, 2021 Accepting new patients
Choices for Change Counseling Agency LPC Past Accepting new patients
Choices for Change Past Accepting new patients

Locations

4000 Portage St
Ste 111
Kalamazoo, MI 49001
Phone (269) 365-0128

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1184844854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10144 CASTLE CREEK CIR",
            "city": "GALESBURG",
            "state": "MI",
            "postal_code": "490538642",
            "telephone_number": "269-370-2899",
            "fax_number": "269-344-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10144 CASTLE CREEK CIR",
            "city": "GALESBURG",
            "state": "MI",
            "postal_code": "490538642",
            "telephone_number": "269-370-2899",
            "fax_number": "269-350-5733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Portage St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490014962",
            "country_code": "US",
            "telephone_number": "269-365-0128",
            "fax_number": "269-350-5733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LECLEAR",
        "first_name": "DENNIS",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "M.A., MED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401009362",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galesburg, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.