Angela Jo McClelland, RAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

5010

Practice address

145 Victoria Dr
Lake Charles, LA 70611-4641

Phone

(337) 855-9773

NPI assigned

Feb 10, 2020

Last updated

Feb 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1912539883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1243",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706341243",
            "telephone_number": "337-226-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 VICTORIA DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706114641",
            "telephone_number": "337-855-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "ANGELA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "RAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "5010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amcclelland@nblcla.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "145 Victoria Dr",
            "city": "Lake Charles",
            "state": "LA",
            "country_code": "US",
            "postal_code": "706114641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shatonia McCarty, MS, RD, LDN
• McCauley Vision, LLC (20/20 Vision Clinic)
• Lindsey A McCauley, O.D.
• Matthew McCauley, MA, LPC-I
• Michael McCauley
• Arthur Clinton McClelland, D.C.
• Wayne Allan McClure, O.D.
• Melvin McCoy
• Nicole McCoy
• Elizabeth Ann McCutchen, AU.D.

• Addiction (Substance Use Disorder) Counselor in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Addiction (Substance Use Disorder) Counselor in Louisiana

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

Verify at the official NPI Registry.