Jason Daniel McClellan, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH20403 Issued in FL

Practice address

2001 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6510

Phone

(630) 229-8300

NPI assigned

Jul 16, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jason Daniel McClellan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• McClellan Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Palm Beach, FL
  • NPI 1528631660
  NPD Authorized official

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1437722568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 38TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334074105",
            "telephone_number": "630-229-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PALM BEACH LAKES BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096510",
            "telephone_number": "630-229-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "JASON",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH20403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASON",
            "last_name": "MCCLELLAN",
            "middle_name": "DANIEL",
            "credential": "MA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth McCann, LMHC
• Jessica McCarrick
• Maryann McCarthy, LIC. AC.
• Vincent McClane, D.M.D
• McClellan Counseling LLC
• Sharonda McClendon
• Mark A McConn, MD
• Margaret Marie McCormack, ARNP
• Scott A McCranels, DMD
• Darrin Lamar McCray

• Mental Health Counselor in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.