JACKIE NICHOLE MCCLELLAN LPC
NPI 1689567307
Counselor - Professional in Kansas City, MO

Active since June 02, 2025
1420 NW VIVION RD STE 108, KANSAS CITY, MO 64118(816) 329-9107 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Nichole Mcclellan Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE NICHOLE MCCLELLAN LPC (NPI 1689567307) is an individual professional provider in Kansas City, Missouri, licensed in Kansas (LPC04559) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1689567307
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACKIE NICHOLE MCCLELLANCredential: LPC
Location Address1420 NW VIVION RD STE 108Kansas City, MO 64118-4511
Mailing Address13652 Oak Valley DrPlatte City, MO 64079-7828
Sole ProprietorYes
Enumeration DateJune 2, 2025
NPPES CertifiedJune 1, 2025
NPI 1689567307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in KS · LPC04559
1420 NW VIVION RD STE 108, Kansas City, MO 64118

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1420 NW VIVION RD STE 108
KANSAS CITY, MO 64118
Counselor (Professional)
1420 NW VIVION RD STE 108
KANSAS CITY, MO 64118
Counselor (Professional)
1420 NW VIVION RD STE 108
KANSAS CITY, MO 64118
Counselor (Mental Health)
1420 NW VIVION RD STE 108
KANSAS CITY, MO 64118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Mcclellan's NPI number?

The NPI number for Jackie Mcclellan is 1689567307. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Where is Jackie Mcclellan located?

Jackie Mcclellan practices at 1420 NW Vivion Rd Ste 108, Kansas City, MO 64118. The listed phone number is (816) 329-9107.

What is Jackie Mcclellan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jackie Mcclellan was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.