Active NPI
Christopher James McCleary, LPC, CHT
- Professional Counselor
- Lowell, AR
National Provider Identifier
1710424601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1810143
- Practice address
- 101 Parkwood St Ste F
Lowell, AR 72745-8808 - Phone
- (479) 202-6292
- Fax
- (479) 335-1325
- NPI assigned
- Jan 30, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | P1810143 | AR | Primary |
Addresses
Primary practice location
101 Parkwood St Ste F
Lowell, AR 72745-8808
Mailing address
803 Chancery LN
Cave Springs, AR 72718-9034
Phone (479) 202-6292
Other practice location 1
803 Chancery Ln
Cave Springs, AR 72718-9034
Phone (479) 202-6292
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 |
|---|---|---|---|
| P1810143 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innerzension Therapy LLC | Mental Health | Current | Accepting new patients |
Locations
101 Parkwood St
Ste F
Lowell, AR 72745
Phone (479) 202-6292
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1710424601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 CHANCERY LN",
"city": "CAVE SPRINGS",
"state": "AR",
"postal_code": "727189034",
"telephone_number": "479-202-6292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PARKWOOD ST STE F",
"city": "LOWELL",
"state": "AR",
"postal_code": "727458808",
"telephone_number": "479-202-6292",
"fax_number": "479-335-1325"
}
],
"practiceLocations": [
{
"address_1": "803 Chancery Ln",
"address_purpose": "LOCATION",
"city": "Cave Springs",
"state": "AR",
"postal_code": "727189034",
"country_code": "US",
"telephone_number": "479-202-6292",
"fax_number": "479-335-1325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLEARY",
"first_name": "CHRISTOPHER",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "LPC, CHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-30",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1810143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.