Susanne Neal Dba Clearwater Counseling

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SUSANNE NEAL DBA CLEARWATER COUNSELING

Doing business as

Clearwater Counseling

Practice address

1206 Harrison Ave
Leadville, CO 80461-3327

Phone

(719) 293-0750

NPI assigned

Jul 25, 2022

Last updated

Jul 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susanne Bridgette Neal, LPC LACNPI 1831498732

Title

Owner- Licences Professional Ocunse

Phone

(719) 293-0750

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clearwater Counseling Doing business as

Electronic endpoints 1

Practitioners 1

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.

• Susanne Bridgette Neal, LPC, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Leadville, CO
  • NPI 1831498732
  NPD Authorized official

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1114653946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804610759",
            "telephone_number": "719-293-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 HARRISON AVE",
            "city": "LEADVILLE",
            "state": "CO",
            "postal_code": "804613327",
            "telephone_number": "719-293-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSANNE NEAL DBA CLEARWATER COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_middle_name": "BRIDGETTE",
        "authorized_official_title_or_position": "OWNER- LICENCES PROFESSIONAL OCUNSE",
        "authorized_official_telephone_number": "719-293-0750",
        "authorized_official_credential": "LPC LAC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014244",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Theranest",
            "affiliation": "N",
            "endpointDescription": "https://susanneneal.mytheranest.com/home/login",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1206 Harrison Ave",
            "city": "Leadville",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804613327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Clearwater Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Leadville, CO
• Providers in Leadville, CO by specialty
• Adult Mental Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.