Active NPI
Christina Raffa Clements
- Counselor
- Port St Lucie, FL
National Provider Identifier
1003105008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 5436 NW Moorhen TRL
Port St Lucie, FL 34986-4322 - Phone
- (772) 924-4707
- NPI assigned
- Mar 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
5436 NW Moorhen TRL
Port St Lucie, FL 34986-4322
Mailing address
2290 N Ronald Reagan Blvd Ste 116
Longwood, FL 32750-3534
Phone (549) 281-9959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impower, Inc | Counselor | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1003105008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2290 N RONALD REAGAN BLVD STE 116",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327503534",
"telephone_number": "549-281-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5436 NW MOORHEN TRL",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349864322",
"telephone_number": "772-924-4707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTS",
"first_name": "CHRISTINA",
"middle_name": "RAFFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-31",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.