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Angela Mcclellan , LPCC

Counselor - Professional β€’ Maumee, OH

Active NPI 1235612995 Individual Practitioner Female Practitioner Telehealth (some services)
Practice location in NPPES

1715 Indian Wood Circle, Suite 200
Maumee, OH 43537

Call 5673182429 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1715 Indian Wood Circle
Suite 200

Maumee, OH 43537

Telephone 5673182429
Fax 5673186569
Organization at the Same NPPES Address or Phone
I'm Your Therapist, Llc Facility NPI 1063093292

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Toledo, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Personal Growth Counseling Services Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2019

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Angela Mcclellan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Angela Mcclellan as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Maumee and Ohio

37 active clinicians are listed under Counselor - Professional with a practice address in Maumee, OH (6,790 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Maumee

10.8% of these 37 clinicians have the CMS telehealth indicator.

18.9% of these 37 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-16
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH E.2102600
Community/Behavioral Health

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0319475 (OH)
Medicaid ID
0047018 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240430000178

Enrollment State Jurisdiction

OH

PECOS Control ID

9234579889

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Personal Growth Counseling Services Llc

5577 Airport Hwy, Toledo, OH 436157364

Phone: 4197200442

Secondary Practice Locations

830 N Summit St

Toledo, OH 436041884

Phone: 4196939600

2931 S Byrne Rd

Toledo, OH 436145202

Phone: 4193291658

2770 Centennial Rd Bldg 7

Toledo, OH 436171829

Phone: 4197940567

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Kendra Maag

Nurse Practitioner - Family

NPI 1275917932
NPI 1548746761

Doctor of Podiatric Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location November 29, 2023

Registered at 1715 INDIAN WOOD CIRCLE, SUITE 200, MAUMEE, OH 43537 (Tel: 5673182429)

πŸ“
Updated Business Mailing Address November 29, 2023

Registered at 1144 S. DETROIT AVE., PO BOX 141057, TOLEDO, OH 436148300 (Tel: 4193291658)

πŸ‘€
Provider Name / Credentials Updated November 29, 2023

Recorded as ANGELA MCCLELLAN, LPCC

πŸ“
Updated Business Mailing Address September 21, 2023

Registered at 1715 INDIAN WOOD CIR STE 200, MAUMEE, OH 435374055

πŸ‘€
Provider Name / Credentials Updated September 21, 2023

Recorded as ANGELA CAIRL, LPCC

πŸ“
Updated Practice Location July 06, 2023

Registered at 2770 CENTENNIAL RD BLDG 7, TOLEDO, OH 436171829 (Tel: 4197940567)

βœ…
NPI Profile Active September 10, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 10, 2018

Registered at 830 N SUMMIT ST, TOLEDO, OH 436041884 (Tel: 4196939600)

πŸ“
Business Mailing Address (Initial Record) September 10, 2018

Registered at 830 N SUMMIT ST, TOLEDO, OH 436041884

πŸ‘€
Provider Name / Credentials (Initial Record) September 10, 2018

Recorded as ANGELA CAIRL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2018

Community/Behavioral Health

🟒
Initial NPI Registration & Enumeration September 10, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1235612995
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2018
Last Update: December 16, 2024
Sole Proprietor: Yes

Mailing Address

1144 S. Detroit Ave., Po Box 141057

Toledo, OH 436148300

Phone: 4193291658

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.