Individual provider Active NPI

Stephen Patrick McClendon, LMHC, MAC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1316229438
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10918 Issued in FL
Practice address
4520 Oak Fair Blvd Ste 100
Tampa, FL 33610-7327
Phone
(813) 542-5500
NPI assigned
Sep 14, 2011
Last updated
Feb 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10918 FL Primary

Addresses

Primary practice location

4520 Oak Fair Blvd Ste 100
Tampa, FL 33610-7327

Mailing address

4520 Oak Fair Blvd Ste 100
Tampa, FL 33610-7327
Phone (813) 542-5500

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
10918FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1316229438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 OAK FAIR BLVD STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336107327",
            "telephone_number": "813-542-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 OAK FAIR BLVD STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336107327",
            "telephone_number": "813-542-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "STEPHEN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "LMHC, MAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-14",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "10918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.