Active NPI
Gregoire McClain, MA LCPC CAS
- Professional Counselor
- Waldorf, MD
National Provider Identifier
1922523919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC1935
- Practice address
- Pathways Inc 2670 Crain Hwy
Suite 409
Waldorf, MD 20601 - Phone
- (301) 373-3065
- Fax
- (240) 309-4131
- NPI assigned
- Aug 10, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAS2698 | MN | |
| Mental Health Counselor | 101YM0800X | LC1935 | MD | |
| Professional Counselor | 101YP2500X | LC1935 | MD | Primary |
Addresses
Primary practice location
Pathways Inc 2670 Crain Hwy
Suite 409
Waldorf, MD 20601
Mailing address
Pathwasy Inc 2670 Crain Hwy
Suite 409
Waldorf, MD 20601
Phone (301) 373-3065
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAS2698 | MN | MD | Addiction (Substance Use Disorder) Counselor |
| LC1935 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502323200000",
"number": "1922523919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PATHWASY INC 2670 CRAIN HWY",
"address_2": "SUITE 409",
"city": "WALDORF",
"state": "MD",
"postal_code": "20601",
"telephone_number": "301-373-3065",
"fax_number": "240-309-4131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PATHWAYS INC 2670 CRAIN HWY",
"address_2": "SUITE 409",
"city": "WALDORF",
"state": "MD",
"postal_code": "20601",
"telephone_number": "301-373-3065",
"fax_number": "240-309-4131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAIN",
"first_name": "GREGOIRE",
"name_prefix": "Mr.",
"credential": "MA LCPC CAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-10",
"last_updated": "2017-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "CAS2698",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC1935",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC1935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.