Active NPI
Matthew Stirling McClelland, M.A.
- Professional Counselor
- Smithfield, NC
National Provider Identifier
1215080981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4243
- Practice address
- 1329 N Brightleaf Blvd
Building C, Suite C
Smithfield, NC 27577-7262 - Phone
- (919) 989-7463
- Fax
- (919) 553-8469
- NPI assigned
- Jan 18, 2007
- 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 | 4243 | NC | Primary |
Addresses
Primary practice location
1329 N Brightleaf Blvd
Building C, Suite C
Smithfield, NC 27577-7262
Mailing address
PO Box 57
Smithfield, NC 27577-0057
Phone (919) 989-7463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102772 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4243 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1215080981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 57",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275770057",
"telephone_number": "919-989-7463",
"fax_number": "919-989-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 N BRIGHTLEAF BLVD",
"address_2": "BUILDING C, SUITE C",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275777262",
"telephone_number": "919-989-7463",
"fax_number": "919-553-8469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLELLAND",
"first_name": "MATTHEW",
"middle_name": "STIRLING",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4243",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102772",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Smithfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.