Individual provider Active NPI

Casey Allen McClellan, LAMFT

  • Marriage & Family Therapist
  • Gilbert, AZ
National Provider Identifier
1275283475
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
10805 Issued in AZ
Practice address
1166 E Warner Rd
205
Gilbert, AZ 85296-3066
Phone
(480) 702-1605
Fax
(480) 452-0435
NPI assigned
Mar 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 10805 AZ Primary

Addresses

Primary practice location

1166 E Warner Rd
205
Gilbert, AZ 85296-3066

Mailing address

1166 E Warner Rd Ste 205
Gilbert, AZ 85296-3066
Phone (480) 702-1605

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

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1275283475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 E WARNER RD STE 205",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963066",
            "telephone_number": "480-702-1605",
            "fax_number": "480-452-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 E WARNER RD",
            "address_2": "205",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963066",
            "telephone_number": "480-702-1605",
            "fax_number": "480-452-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "CASEY",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "LAMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "10805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.