Individual provider Active NPI

Angela McClellan, LPCC

  • Professional Counselor
  • Maumee, OH
National Provider Identifier
1235612995
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2102600 Issued in OH
Practice address
1700 Woodlands Dr
Maumee, OH 43537-4043
Phone
(567) 318-2429
Fax
(567) 318-6569
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Professional Counselor 101YP2500X E.2102600 OH Primary

Addresses

Primary practice location

1700 Woodlands Dr
Maumee, OH 43537-4043

Mailing address

1144 S. Detroit Ave.
PO Box 141057
Toledo, OH 43614-8300
Phone (419) 329-1658

Other practice location 1

2931 S Byrne Rd
Toledo, OH 43614-5202
Phone (419) 329-1658

Other identifiers 2

IdentifierTypeStateIssuer
0319475MedicaidOH
0047018MedicaidOH

Other names 1

  • Angela L. Cairl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240430000178 OH Practitioner - Mental Health Counselor 9234579889 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Personal Growth Counseling Services LLCGroup PAC ID 1951776582, 4 clinicians

Practice addresses (Care Compare)

1715 Indian Wood Cir
Suite 200
Maumee, OH 43537-4055
Phone (567) 318-2429

5577 Airport Hwy
Suite 200
Toledo, OH 43615-7364
Phone (419) 720-0442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2102600OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Behavioral Health Services LLC Professional CurrentSince Mar 24, 2024 Accepting new patients
Healing Our Past Energy H.O.P.E Professional Counseling Professional CurrentSince May 25, 2025 Accepting new patients
Personal Growth Counseling Services LLC CurrentSince May 6, 2025 Accepting new patients
Personal Growth Counseling Services LLC CurrentSince May 6, 2025 Accepting new patients
RFS Charitable Foundation Community/Behavioral Health Past Accepting new patients

Locations

1715 Indian Wood Cir
Ste 200
Maumee, OH 43537
Phone (216) 770-9367

2770 Centennial Rd
Toledo, OH 43617
Phone (419) 794-0567

2770 Centennial Rd
Bldg 7
Toledo, OH 43617
Phone (419) 794-0567

5577 Airport Hwy
Ste 200
Toledo, OH 43615
Phone (419) 720-0442

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/rfstackle/r4/

Organizations & group practices 5

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": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1235612995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 S. DETROIT AVE.",
            "address_2": "PO BOX 141057",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436148300",
            "telephone_number": "419-329-1658",
            "fax_number": "567-318-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WOODLANDS DR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374043",
            "telephone_number": "567-318-2429",
            "fax_number": "567-318-6569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2931 S Byrne Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436145202",
            "country_code": "US",
            "telephone_number": "419-329-1658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "ANGELA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2102600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0319475",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0047018",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "CAIRL",
            "middle_name": "L.",
            "credential": "LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.