JERRY WILLIAM MCCLUER (NPI# 1376588301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376588301 |
| Entity Type | Individual |
| Full Name | JERRY WILLIAM MCCLUER |
| Credential | P.C.C., LCDCIII |
| Practice Address |
1374 N Fairfield Rd Suite B Beavercreek OH 45432-2676 |
| Mailing Address |
2190 Matrena Dr Beavercreek OH 45431-3115 |
| Practice Telephone | 9374279151 |
| Practice Fax Number | 9374299942 |
| Mailing Telephone | 9374273460 |
| Mailing Fax Number | 9374299942 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2009-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
E0002785 | OH | Behavioral Health & Social Service Providers |
| Street Address |
1374 N FAIRFIELD RD SUITE B |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45432-2676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972793552 | Jmac Counseling Services | Community/Behavioral Health | 1374 N Fairfield Rd, Suite B, Beavercreek, OH 45432-2676 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789284 | Shannon Davis Kaufman | Counselor | National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432 | 2020-04-23 |
| 1215480504 | Heather Iaquinta | Registered Nurse | 1430 Linden Ave., Suite 390, Dayton, OH 45432 | 2016-08-03 |
| 1346586682 | Jeffrey Craig Miller | Dentist | 4450 Linden Ave., Dayton, OH 45432 | 2012-12-13 |
| 1194997718 | Paul G Tarlano Dds Inc | Dentist | 3621 Dayton-xenia Rd, Beaver Creek, OH 45432 | 2008-03-25 |
| 1306018981 | Paul Gerald Tarlano | Dentist | 3621 Dayton Xenia Rd, Beavercreek, OH 45432 | 2008-03-24 |
| 1104035377 | Andrew Brody | Occupational Therapy Assistant | 1974 North Fairfield Road, Beavercreek, OH 45432 | 2007-05-22 |
| 1952476111 | Jeffrey C Miller Dds Inc | Dentist | 4450 Linden Ave, Dayton, OH 45432 | 2006-11-22 |
| 1194898098 | Joseph Warren Shiveley | Dentist | 1555 Marsetta Drive, Dayton, OH 45432 | 2006-11-16 |
| 1710907597 | Integrated Youth Services Inc | Clinic/Center | 1321 Research Park Drive, Dayton, OH 45432 | 2006-07-21 |
| 1730106790 | Lorena L Kvalheim | Psychologist | 1020 Woodman Street, Suite 300, Dayton, OH 45432 | 2006-07-16 |
| Find all providers in zip 45432 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790161842 | Marjorie Wing Kavanaugh | Counselor | 2425 Mallard Ln., #3, Beavercreek, OH 45431-3678 | 2015-07-30 |
| 1932376977 | A New Direction for Counseling | Counselor | 1411 N Fairfield Rd Ste A, Beavercreek, OH 45432-2683 | 2008-05-09 |
| 1265639991 | Mark R Stobie | Counselor | 1324 Parkway Ct, Beavercreek, OH 45432-2601 | 2007-06-27 |
| 1790814937 | Nicole L Wagstrom | Counselor | 801 Space Drive, Beavercreek, OH 45434-7162 | 2007-03-05 |
| 1679633515 | Choices Changes Attitudes, LLC | Counselor | 801 Space Dr, Beavercreek, OH 45434-7162 | 2006-12-11 |
| 1437132974 | Miami Valley Counseling and Hypnosis Center | Counselor | 1255 N Fairfield Rd, Beavercreek, OH 45432-2668 | 2005-11-29 |
| 1659371292 | Patricia A Kaniuga | Counselor | 1411 N Fairfield Rd, Beavercreek, OH 45432-2658 | 2005-07-26 |
| 1043825102 | Brooke Schmidt | Counselor | 3171 Beaver Vu Dr Ste C, Beavercreek, OH 45434-6368 | 2020-09-14 |
| 1437781382 | Sheri Lynne Coffman | Counselor | 3183 Beaver Vu Dr Ste C, Beavercreek, OH 45434-6385 | 2020-02-09 |
| 1265962161 | Carmen Marie Speller | Counselor | 1411 N Fairfield Rd, Beavercreek, OH 45432-2637 | 2017-06-14 |
| Find all providers in BEAVERCREEK | ||||
| City | BEAVERCREEK |
| Zip Code | 45432 |
Please comment or provide details below to improve the information on JERRY WILLIAM MCCLUER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.