Claymore Counseling, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

552302 Issued in TX

Legal business name

CLAYMORE COUNSELING, PLLC

Practice address

1717 Brown St Ste 2B
El Paso, TX 79902-4730

Phone

(915) 533-7755

Fax

(915) 542-2978

NPI assigned

Oct 25, 2010

Organization subpart

No

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

Authorized official

Name

Jane Flatley Jackson, PMHNP-BC

Title

Sole MBR

Phone

(915) 203-6824

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1083914006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4843 OLMOS ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799221751",
            "telephone_number": "915-533-7755",
            "fax_number": "915-542-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 BROWN ST STE 2B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024730",
            "telephone_number": "915-533-7755",
            "fax_number": "915-542-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYMORE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "FLATLEY",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "915-203-6824",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "552302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Editha Abrenilla Claros, N.P.
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• Shelbie Claycomb
• David Clayden, DDS, MSD
• Clear Route Medical Transportation LLC
• Clear Vision Optical, LTD
• Kristin Nicole Clements, MS, LPC-A
• Tyler Clemmons
• Andrew William Cleveland III, M.D.

• Psychiatric/Mental Health Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.