Maurice McClain

Primary specialty

CounselorTaxonomy code 101Y00000X

License

5411-226 Issued in WI

Practice address

3712 Tower Ave Ste C
Superior, WI 54880-5397

Phone

(715) 468-2841

NPI assigned

Mar 7, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Soar Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shell Lake, WI
  • NPI 1437571569
  NPD
• Turgeon Consulting

  • Mental Health Counselor
  • Ashland, WI
  • NPI 1861675837
  NPD (past)

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1871293985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 265",
            "city": "SHELL LAKE",
            "state": "WI",
            "postal_code": "548710265",
            "telephone_number": "715-468-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 TOWER AVE STE C",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805397",
            "telephone_number": "715-468-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "MAURICE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-07",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "5411-226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5411-226",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Maderich, PHARMD
• Ashley Madill
• Jennifer Kay Martin, PTA
• Donald C. Mattson, PHD, ATR, LPC
• Katherine Jean McCall
• Taylor Marie McClung, MSW, LICSW, LCSW
• Cheryl L McDonald, RN
• Ellen Jane McDonald
• Laurin McGillis
• Maria Elizabeth Menart, M.S. OTR/L

• Counselor in Superior, WI
• Providers in Superior, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.