Active NPI
Donald Jeffrey McClendon, MS, ALC, NCC
- Mental Health Counselor
- Madison, AL
National Provider Identifier
1720604101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C3543A
- Practice address
- 814 Palmer Rd Ste B4
Madison, AL 35758-3185 - Phone
- (256) 325-0467
- NPI assigned
- Jun 22, 2020
- Last updated
- Jun 22, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C3543A | AL | Primary |
Addresses
Primary practice location
814 Palmer Rd Ste B4
Madison, AL 35758-3185
Mailing address
712 Rison Ave NE
Huntsville, AL 35801-3556
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mentalhealth@vallisLLC.org |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3543A | AL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vallis LLC | Mental Health | Past | Accepting new patients |
Interoperability endpoints
- mentalhealth@vallisllc.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1720604101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 RISON AVE NE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 PALMER RD STE B4",
"city": "MADISON",
"state": "AL",
"postal_code": "357583185",
"telephone_number": "256-325-0467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLENDON",
"first_name": "DONALD",
"middle_name": "JEFFREY",
"name_prefix": "Mr.",
"credential": "MS, ALC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-22",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "C3543A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mentalhealth@vallisLLC.org",
"affiliation": "N",
"address_1": "814 Palmer Rd Ste B4",
"city": "Madison",
"state": "AL",
"country_code": "US",
"postal_code": "357583185",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.