Active NPI
Michael Clemente, M.A, LPC, BCBA, LBS
- Professional Counselor
- Bala Cynwyd, PA
National Provider Identifier
1245709104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC011651
- Practice address
- 150 Monument Rd
Bala Cynwyd, PA 19004-1702 - Phone
- (215) 452-6274
- NPI assigned
- Nov 20, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BH003330 | PA | |
| Professional Counselor | 101YP2500X | PC011651 | PA | Primary |
Addresses
Primary practice location
150 Monument Rd
Bala Cynwyd, PA 19004-1702
Mailing address
150 Monument Rd
Bala Cynwyd, PA 19004-1702
Phone (215) 452-6274
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 |
|---|---|---|---|
| PC011651 | PA | MD | Professional Counselor |
| BH003330 | PA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior and Counseling Center LLC | Behavior Analyst | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Bala Cynwyd, PA
- NPI 1023573680
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1245709104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 MONUMENT RD",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041702",
"telephone_number": "215-452-6274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MONUMENT RD",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041702",
"telephone_number": "215-452-6274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTE",
"first_name": "MICHAEL",
"credential": "M.A, LPC, BCBA, LBS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-20",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH003330",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC011651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.