Adrian Paul McClaren, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T0167 Issued in MS

Practice address

230 Goodman Rd E Ste 102
Southaven, MS 38671-8313

Phone

(901) 355-1770

Fax

(662) 349-6626

NPI assigned

May 1, 2007

Last updated

Mar 29, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1346461837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 GOODMAN RD E STE 102",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386718313",
            "telephone_number": "901-355-1770",
            "fax_number": "662-349-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 GOODMAN RD E STE 102",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386718313",
            "telephone_number": "901-355-1770",
            "fax_number": "662-349-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAREN",
        "first_name": "ADRIAN",
        "middle_name": "PAUL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MS",
            "license": "T0167",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "LMT000999",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "204866674",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Marie McCafferty
• Antonio McCall
• Michael Patrick McCallum, MS, PCMHT
• Madison McCaskill, CRNA
• Mariam McCauley
• Meredith Kelsey McCormick, PT
• Angela D. McCoy, CRNA
• Susan Elyse McCullough, FNP
• Christopher Michael McDaniel, M.D.
• Henon Lee McDonald Jr., RN

• Marriage & Family Therapist in Southaven, MS
• Providers in Southaven, MS by specialty
• Marriage & Family Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.