Active NPI
Lora McClendon
- Counselor
- Columbus, OH
National Provider Identifier
1760991186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 140778
- Practice address
- 3035 W Broad St Ste 101
Columbus, OH 43204-2653 - Phone
- (614) 272-7005
- NPI assigned
- Sep 28, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 140778 | OH | Primary |
Addresses
Primary practice location
3035 W Broad St Ste 101
Columbus, OH 43204-2653
Mailing address
3035 W Broad St Ste 101
Columbus, OH 43204-2653
Phone (614) 272-7005
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 |
|---|---|---|---|
| 140778 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1760991186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3035 W BROAD ST STE 101",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432042653",
"telephone_number": "614-272-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3035 W BROAD ST STE 101",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432042653",
"telephone_number": "614-272-7005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLENDON",
"first_name": "LORA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "140778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.