Individual provider Active NPI

Brittany Lyn McClarren, BA, MA, LPC, NCC

  • Mental Health Counselor
  • Archbold, OH
National Provider Identifier
1396472981
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2204421 Issued in OH
Practice address
22251 State Route 2
Archbold, OH 43502-9452
Phone
(419) 445-1552
Fax
(419) 445-1401
NPI assigned
Aug 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 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 C.2204421 OH Primary

Addresses

Primary practice location

22251 State Route 2
Archbold, OH 43502-9452

Mailing address

9923 County Road 10
Delta, OH 43515-9654
Phone (419) 296-6800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bmcclarren@shalomworks.org Direct Shalom Counseling & Mediation Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Master of Arts

State licenses

LicenseStateTypeSpecialty
C.2204421OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shalom Ministries CurrentSince Nov 15, 2024 Accepting new patients

Locations

22251 State Route 2
Archbold, OH 43502
Phone (419) 445-1552

400 Enterprise Ave
Wauseon, OH 43567
Phone (419) 330-3522

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": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1396472981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9923 COUNTY ROAD 10",
            "city": "DELTA",
            "state": "OH",
            "postal_code": "435159654",
            "telephone_number": "419-296-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22251 STATE ROUTE 2",
            "city": "ARCHBOLD",
            "state": "OH",
            "postal_code": "435029452",
            "telephone_number": "419-445-1552",
            "fax_number": "419-445-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLARREN",
        "first_name": "BRITTANY",
        "middle_name": "LYN",
        "credential": "BA, MA, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2204421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmcclarren@shalomworks.org",
            "affiliation": "Y",
            "endpointDescription": "Email Address",
            "affiliationName": "Shalom Counseling & Mediation Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "22251 State Route 2",
            "city": "Archbold",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435029452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Archbold, OH

Sources for this page

Verify at the official NPI Registry.