Individual provider Active NPI

Marsha McLean, LCMHC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1922268754
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7028 Issued in NC
Practice address
5505 Creedmoor Rd
Raleigh, NC 27612-6352
Phone
(919) 852-5352
Fax
(919) 852-5323
NPI assigned
Jun 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7028 NC
Mental Health Counselor 101YM0800X 7028 NC Primary

Addresses

Primary practice location

5505 Creedmoor Rd
Raleigh, NC 27612-6352

Mailing address

5505 Creedmoor Rd
Raleigh, NC 27612-6352
Phone (919) 852-5352

Other practice location 1

5306 Nc Highway 55 Ste 105
Durham, NC 27713-7812
Phone (919) 457-1517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1922268754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 CREEDMOOR RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126352",
            "telephone_number": "919-852-5352",
            "fax_number": "919-852-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 CREEDMOOR RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126352",
            "telephone_number": "919-852-5352",
            "fax_number": "919-852-5323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5306 Nc Highway 55 Ste 105",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277137812",
            "country_code": "US",
            "telephone_number": "919-457-1517",
            "fax_number": "919-363-7697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "MARSHA",
        "name_prefix": "Miss",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7028",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.