Active NPI
Evan D McClure, MS, LPC
- Professional Counselor
- Yalesville, CT
National Provider Identifier
1235575416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 002265
- Practice address
- 300 Church St
Suite 202
Yalesville, CT 06492-2253 - Phone
- (203) 592-7227
- NPI assigned
- May 15, 2013
- 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 | 002265 | CT | Primary |
Addresses
Primary practice location
300 Church St
Suite 202
Yalesville, CT 06492-2253
Mailing address
350 Savin Ave
Apt 32
West Haven, CT 06516-5871
Phone (203) 592-7227
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002265 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418601600000",
"number": "1235575416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 SAVIN AVE",
"address_2": "APT 32",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065165871",
"telephone_number": "203-592-7227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CHURCH ST",
"address_2": "SUITE 202",
"city": "YALESVILLE",
"state": "CT",
"postal_code": "064922253",
"telephone_number": "203-592-7227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLURE",
"first_name": "EVAN",
"middle_name": "D",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-15",
"last_updated": "2014-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "002265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yalesville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.