Active NPI
Meredith McCloy, M.A., M.ED., LMHC
- Mental Health Counselor
- Portland, ME
National Provider Identifier
1497476725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 015386
- Practice address
- 63 Federal St
Portland, ME 04101-4222 - Phone
- (207) 400-2560
- NPI assigned
- Sep 6, 2022
- 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 | 015386 | NY | Primary |
Addresses
Primary practice location
63 Federal St
Portland, ME 04101-4222
Mailing address
63 Federal St
Portland, ME 04101-4222
Other practice location 1
113 University Pl Fl 11
New York, NY 10003-4527
Phone (412) 465-0513
Other practice location 2
196 Utica Ave Unit 2048
Brooklyn, NY 11213-2939
Phone (207) 400-2560
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
- Credentials
- Master of Arts, Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1497476725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 FEDERAL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041014222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 FEDERAL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041014222",
"telephone_number": "207-400-2560"
}
],
"practiceLocations": [
{
"address_1": "113 University Pl Fl 11",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100034527",
"country_code": "US",
"telephone_number": "412-465-0513",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "196 Utica Ave Unit 2048",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112132939",
"country_code": "US",
"telephone_number": "207-400-2560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLOY",
"first_name": "MEREDITH",
"credential": "M.A., M.ED., LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-06",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "015386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.