Individual provider Active NPI

Megan Elizabeth McClure, LCPC

  • Mental Health Counselor
  • Springfield, IL
National Provider Identifier
1417704248
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.016583 Issued in IL
Practice address
3008 Happy Landing Dr # DT
Springfield, IL 62711-6259
Phone
(331) 472-1871
Fax
(877) 428-7891
NPI assigned
Apr 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 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 180.016583 IL Primary

Addresses

Primary practice location

3008 Happy Landing Dr # DT
Springfield, IL 62711-6259

Mailing address

1058 W Elliott Ave
Springfield, IL 62702-2327
Phone (217) 494-6046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250117000464 IL Practitioner - Mental Health Counselor 9638607716 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.016583ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood Clinical Services, P.C. Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Psychology Specialists LTD Past Accepting new patients

Locations

808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

3008 Happy Landing Dr
Springfield, IL 62711
Phone (217) 523-4534

Organizations & group practices 2

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": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1417704248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 W ELLIOTT AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627022327",
            "telephone_number": "217-494-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 HAPPY LANDING DR # DT",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116259",
            "telephone_number": "331-472-1871",
            "fax_number": "877-428-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.016583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.