Clear Innervision Counseling Service, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801070834 Issued in MI

Legal business name

CLEAR INNERVISION COUNSELING SERVICE, LLC

Practice address

19304 Grand River Ave
Detroit, MI 48223-1202

Phone

(313) 467-3918

NPI assigned

Nov 1, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Rhonda Jovette Miller, LMSWNPI 1053556662

Title

Owner

Phone

(313) 467-7215

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rhonda Jovette Miller, LMSW

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1053556662
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1073025854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16249 EASTWIND ST",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481743180",
            "telephone_number": "313-467-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19304 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482231202",
            "telephone_number": "313-467-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR INNERVISION COUNSELING SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-01",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "JOVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-467-7215",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801070834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Jordan Clay
• Alicia Claybrooks, LPN
• Conner Claypool
• Makaila Claypool
• Precious Clayton
• Clearcast Hearing, LLC
• Clearpath Management Solutions
• Roger Cleaver, LLP
• Yifat Clein
• Laura Ann Clemens, MD

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.