Individual provider Active NPI

Clare Kain, LPC, SAC-IT

  • Professional Counselor
  • Jefferson, LA
National Provider Identifier
1043625908
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7856 Issued in LA
Practice address
827 Causeway Blvd
Jefferson, LA 70121-2738
Phone
(504) 298-1678
Fax
(504) 298-1598
NPI assigned
Jun 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17093-130 WI
Mental Health Counselor 101YM0800X ATR WI
Professional Counselor 101YP2500X 5744 WI
Professional Counselor 101YP2500X 76056 TX
Professional Counselor 101YP2500X 7856 LA Primary

Addresses

Primary practice location

827 Causeway Blvd
Jefferson, LA 70121-2738

Mailing address

1111 S 6TH St
United Community Center, HSD
Milwaukee, WI 53204-2301
Phone (414) 643-8530

Other practice location 1

1111 S 6th St
Milwaukee, WI 53204-2301
Phone (414) 643-8530

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://communityhealthcaresolutions.org/contact_us

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

State licenses

LicenseStateTypeSpecialty
17093-130WIMDAddiction (Substance Use Disorder) Counselor
ATRWIMDMental Health Counselor
7856LAMDProfessional Counselor
5744WIMDProfessional Counselor
76056TXMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1043625908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 S 6TH ST",
            "address_2": "UNITED COMMUNITY CENTER, HSD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532042301",
            "telephone_number": "414-643-8530",
            "fax_number": "414-647-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 CAUSEWAY BLVD",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701212738",
            "telephone_number": "504-298-1678",
            "fax_number": "504-298-1598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 S 6th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532042301",
            "country_code": "US",
            "telephone_number": "414-643-8530",
            "fax_number": "414-647-8602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAIN",
        "first_name": "CLARE",
        "credential": "LPC, SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17093-130",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "ATR",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5744",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76056",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://communityhealthcaresolutions.org/contact_us",
            "affiliation": "Y",
            "address_1": "827 Causeway Blvd",
            "city": "Jefferson",
            "state": "LA",
            "country_code": "US",
            "postal_code": "701212738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jefferson, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.