Richard Allen McLellan, M.S., L.P.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP0295 Issued in MN

Practice address

7260 University Ave NE
#235
Fridley, MN 55432-3126

Phone

(763) 572-2605

Fax

(763) 572-2606

NPI assigned

Mar 22, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1987

Medicare assignment

May accept Medicare assignment

Group practices

Aria Counseling Assessment and Mediation Centers PLLCGroup PAC ID 0244460251, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Aria Counseling Assessment and Mediation Centers PLLC

  • Psychologist
  • Fridley, MN
  • NPI 1649613837
  Medicare reassignment Care Compare group Authorized official
• Affiliated Counseling Center

  • Psychologist
  • Fridley, MN
  • NPI 1194836064
  NPD

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1932408549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7260 UNIVERSITY AVE NE",
            "address_2": "#235",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323126",
            "telephone_number": "763-572-2605",
            "fax_number": "763-572-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7260 UNIVERSITY AVE NE",
            "address_2": "#235",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323126",
            "telephone_number": "763-572-2605",
            "fax_number": "763-572-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLELLAN",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "M.S., L.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP0295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon E McCutcheon, NP
• Ann F.H. McGinn, M.D.
• Matthew L McGraw, APRN
• Katie McLaughlin, PA-C
• Terrance David McLaughlin, M.D.
• Carol Elizabeth McManman, O.D.
• Mackayla Rose McMillan
• Terrence Bernard Meanchop Sr.
• Andrea Meehl, M.S. CCC SLP
• Carolyn Sarah Menger, LICSW

• Clinical Psychologist in Fridley, MN
• Providers in Fridley, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.