Individual provider Active NPI

Christopher James McCleary, LPC, CHT

  • Professional Counselor
  • Lowell, AR
National Provider Identifier
1710424601
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1810143 Issued in AR
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

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
P1810143ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Innerzension Therapy LLC Mental Health CurrentSince Aug 30, 2020 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.

Verify at the official NPI Registry.