Active NPI
Meagan Ruth Maclellan, LPCA
- Mental Health Counselor
- Raleigh, NC
National Provider Identifier
1861048449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A15080
- Practice address
- 3125 Poplarwood CT Ste 203
Raleigh, NC 27604-6445 - Phone
- (919) 787-6131
- NPI assigned
- Aug 10, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A15080 | NC | Primary |
Addresses
Primary practice location
3125 Poplarwood CT Ste 203
Raleigh, NC 27604-6445
Mailing address
127 Stone Nut TRL
Fuquay Varina, NC 27526-3501
Phone (919) 215-6955
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 |
|---|---|---|---|
| A15080 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565395200000",
"number": "1861048449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 STONE NUT TRL",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275263501",
"telephone_number": "919-215-6955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 POPLARWOOD CT STE 203",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276046445",
"telephone_number": "919-787-6131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACLELLAN",
"first_name": "MEAGAN",
"middle_name": "RUTH",
"name_prefix": "Ms.",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-10",
"last_updated": "2019-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A15080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.