Individual provider Active NPI

Brian W. McLeary, LPC

  • Counselor
  • Johnstown, PA
National Provider Identifier
1285728642
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC003641 Issued in PA
Practice address
1360 Eisenhower Blvd Ste 204
Johnstown, PA 15904-3338
Phone
(814) 241-8757
Fax
(814) 241-8757
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC003641 PA
Professional Counselor 101YP2500X PC003641 PA
Counselor 101Y00000X PC003641 PA Primary

Addresses

Primary practice location

1360 Eisenhower Blvd Ste 204
Johnstown, PA 15904-3338

Mailing address

1360 Eisenhower Blvd Ste 204
Johnstown, PA 15904-3338
Phone (814) 241-8757

Other identifiers 1

IdentifierTypeStateIssuer
1026010670001MedicaidPA

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

State licenses

LicenseStateTypeSpecialty
PC003641PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
McLeary Professional Counseling Professional CurrentSince Jun 21, 2022 Accepting new patients

Locations

1360 Eisenhower Blvd
Ste 204
Johnstown, PA 15904
Phone (814) 241-8757

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1285728642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 EISENHOWER BLVD STE 204",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043338",
            "telephone_number": "814-241-8757",
            "fax_number": "814-241-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 EISENHOWER BLVD STE 204",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043338",
            "telephone_number": "814-241-8757",
            "fax_number": "814-241-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEARY",
        "first_name": "BRIAN",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC003641",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003641",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC003641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026010670001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.