Crystal J McClelland, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

124435 Issued in CA

Practice address

2601 E Chapman Ave
Suite 102
Fullerton, CA 92831-3737

Phone

(949) 702-1681

NPI assigned

Dec 2, 2016

Last updated

Mar 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Crystal Whitacre Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1245773696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20351 SW ACACIA ST FL 2",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601527",
            "telephone_number": "877-844-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E CHAPMAN AVE",
            "address_2": "SUITE 102",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313737",
            "telephone_number": "949-702-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "CRYSTAL",
        "middle_name": "J",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124435",
            "primary": true
        },
        {
            "code": "174V00000X",
            "taxonomy_group": "",
            "desc": "Clinical Ethicist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "WHITACRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• McCandless Family Counseling, Inc.
• Paul M McCandless, MFT
• Marierose McCarthy
• Scarlet McCarty
• Violett McClay
• Abigail Kendre Edens McClendon, BA
• Marcelene McClendon
• Shawnte N McClendon
• Joanne McCluskey, LCSW
• Lashawn Renee McCombs, NP

• Marriage & Family Therapist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.