Active NPI
Randy McLaren, LPC
- Professional Counselor
- Saint Peters, MO
National Provider Identifier
1861863094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2013036982
- Practice address
- 5988 Mid Rivers Mall Dr
Ste. 113
Saint Peters, MO 63304-7119 - Phone
- (636) 229-5679
- NPI assigned
- Oct 14, 2015
- Last updated
- Jan 8, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2013036982 | MO | Primary |
Addresses
Primary practice location
5988 Mid Rivers Mall Dr
Ste. 113
Saint Peters, MO 63304-7119
Mailing address
5285 Highway N Ste 103
Cottleville, MO 63304-7733
Phone (636) 357-6416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861032799 | Medicaid | MO |
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 |
|---|---|---|---|
| 2013036982 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Generations Counseling | Professional | Past | Accepting new patients |
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": "1444780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1861863094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5285 HIGHWAY N STE 103",
"city": "COTTLEVILLE",
"state": "MO",
"postal_code": "633047733",
"telephone_number": "636-357-6416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5988 MID RIVERS MALL DR",
"address_2": "STE. 113",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633047119",
"telephone_number": "636-229-5679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAREN",
"first_name": "RANDY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-14",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2013036982",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861032799",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Peters, MO
- Joel Kevin McGraw, D.D.S.
- John F McHale III, CCC-SLP
- Shannon Elaine McIntosh, PHARMD
- Robert Douglas McKay
- Shawn McKenzie, DC
- William Michael McLaughlin, MD
- Elizabeth McNeely
- Matthew McPeak, DC
- McPherson Medical & Diagnostic LLC (American Medical Missouri)
- McPherson Medical & Diagnostic, LLC (Americal Medical Missouri)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.