JACKIE NICHOLE MCCLELLAN LPC NPI 1689567307

NPI Information

  • NPI: 1689567307
  • Provider Name: JACKIE NICHOLE MCCLELLAN, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 1420 NW VIVION RD STE 108
    KANSAS CITY, MO
    ZIP 64118
  • Phone: (816) 329-9107

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NPI Details

Jackie Nichole Mcclellan, LPC is a professional counselor in Kansas City, MO. Jackie Nichole Mcclellan, LPC NPI is 1689567307. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1420 NW VIVION RD STE 108
KANSAS CITY, MO
ZIP 64118-511
Phone: (816) 329-9107

The enumeration date for this NPI number is 6/2/2025 and was last updated on 6/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalLPC04559KANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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