NPIMap

Organization Active NPI

Clear View Counseling Center, LLC

  • Clinical Psychologist
  • Annapolis, MD
National Provider Identifier
1073994950
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CLEAR VIEW COUNSELING CENTER, LLC
Practice address
1819 Bay Ridge Ave Ste 190
Annapolis, MD 21403-2835
Phone
(443) 281-9430
Fax
(443) 782-2446
NPI assigned
Jun 16, 2015
Last updated
May 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Dr. Courtney K Cusack, PSY.D.NPI 1295982122
Title
Licensed Psychologist
Phone
(410) 281-9430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

1819 Bay Ridge Ave Ste 190
Annapolis, MD 21403-2835

Mailing address

1819 Bay Ridge Ave Ste 190
Annapolis, MD 21403-2835
Phone (443) 281-9430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150706000456 MD Part B Supplier - Clinic/Group Practice 6103138193 Receives reassigned benefits from 9 practitioners
Practice locations: Annapolis, MD

National Provider Directory

National Provider Directory

Locations

1125 West St
Ste 200
Annapolis, MD 21401
Phone (443) 714-7210

1819 Bay Ridge Ave
Ste 190
Annapolis, MD 21403
Phone (443) 231-3690

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1073994950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 BAY RIDGE AVE STE 190",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214032835",
            "telephone_number": "443-281-9430",
            "fax_number": "443-782-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 BAY RIDGE AVE STE 190",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214032835",
            "telephone_number": "443-281-9430",
            "fax_number": "443-782-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR VIEW COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "CUSACK",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "410-281-9430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.