Individual provider Active NPI

Laura M McClinton, LMFT

  • Marriage & Family Therapist
  • Fort Washington, PA
National Provider Identifier
1205847605
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF000905 Issued in PA
Practice address
390 Commerce Dr # 235
Fort Washington, PA 19034-2600
Phone
(215) 259-8444
NPI assigned
Aug 10, 2006
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF000905 PA Primary

Addresses

Primary practice location

390 Commerce Dr # 235
Fort Washington, PA 19034-2600

Mailing address

390 Commerce Dr # 235
Fort Washington, PA 19034-2600
Phone (215) 259-8444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 16, 2025 through Apr 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MF000905PAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blooming Jade Counseling LLC Marriage & Family Therapist Current Accepting new patients

Locations

390 Commerce Dr
Fort Washington, PA 19034
Phone (215) 259-8444

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1205847605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 COMMERCE DR # 235",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342600",
            "telephone_number": "215-259-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 COMMERCE DR # 235",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342600",
            "telephone_number": "215-259-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTON",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

Verify at the official NPI Registry.