Kameron Emerson McClintic

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

95362 Issued in TX

Practice address

1206 W 43Rd St
Austin, TX 78756-3302

Phone

(512) 710-7645

NPI assigned

Jun 11, 2024

Last updated

Jun 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bloom Therapy, PLLC

  dba Bloom Therapy

  • Professional Counselor
  • Austin, TX
  • NPI 1649677006
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1831931609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 W 43RD ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563302",
            "telephone_number": "512-710-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W 43RD ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563302",
            "telephone_number": "512-710-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTIC",
        "first_name": "KAMERON",
        "middle_name": "EMERSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "95362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory J McClelland, P.A.
• John R. McClelland, DC
• Michael Lynn McClelland Jr., MD
• Macey McClenen, MS, LPC
• Justin McClenny, LCDC
• Tyler Robert McClintock, M.D., M.S.
• Aleshia McClinton
• Loretta Ann McClory, MA
• Jennifer McCloskey, MA, LPC-A, NCC
• Alyssa McCloud

• Mental Health Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.