Active NPI
Everett Gerard McLaren, ED.D.
- Professional Counselor
- Richmond, VA
National Provider Identifier
1477612232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701000639
- Practice address
- 312 Granite Ave
Richmond, VA 23226-2144 - Phone
- (804) 288-6734
- Fax
- (804) 288-8923
- NPI assigned
- Dec 7, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701000639 | VA | Primary |
Addresses
Primary practice location
312 Granite Ave
Richmond, VA 23226-2144
Mailing address
1217 The FRST
Crozier, VA 23039-2421
Phone (804) 784-2641
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066916 | Other | VA | ANTHEM BC BS |
| 00190 | Other | VA | VALUE OPTIONS |
| 086098 | Other | VA | SENTARA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701000639 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477612232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 THE FRST",
"city": "CROZIER",
"state": "VA",
"postal_code": "230392421",
"telephone_number": "804-784-2641",
"fax_number": "804-288-8923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 GRANITE AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232262144",
"telephone_number": "804-288-6734",
"fax_number": "804-288-8923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAREN",
"first_name": "EVERETT",
"middle_name": "GERARD",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701000639",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "066916",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "00190",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "086098",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.