John McClure, QMHA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

410 N 9TH St
Cottage Grove, OR 97424-1307

Phone

(541) 942-2850

Fax

(541) 942-1574

NPI assigned

Jun 20, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487859203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N 9TH ST",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974241307",
            "telephone_number": "541-942-2850",
            "fax_number": "541-942-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N 9TH ST",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974241307",
            "telephone_number": "541-942-2850",
            "fax_number": "541-942-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "JOHN",
        "credential": "QMHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019047",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca McBride, APN
• Matthew McCallum
• Julie A McClary
• Park W McClung, D.D.S.
• Tammy L McClung, D.D.S.
• Howard Keith McConnell, PHD
• Patricia McConnell
• Cynthia Lynn McCourt
• McCoy'S Pharmacy Inc
• Emilio Michael Aaron McCutcheon

• Mental Health Counselor in Cottage Grove, OR
• Providers in Cottage Grove, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.