Active NPI
Megan Elizabeth McClure, LCPC
- Mental Health Counselor
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.016583
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.016583 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Clinical Services, P.C. | Mental Health | Current | 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.
-
dba LifeStance
- Psychologist
- Naperville, IL
- NPI 1295914646
Mental Health
-
dba LifeStance Health
- Clinical Psychologist
- Bloomington, IL
- NPI 1053368605
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.