Clearscreen, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CLEARSCREEN, LLC

Practice address

121 Nash St W
Wilson, NC 27893-4012

Phone

(252) 234-5921

Fax

(888) 386-3166

NPI assigned

Dec 4, 2012

Last updated

Dec 4, 2012By 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

Mr. Tommel Hayes, LCSW, LCAS

Title

Owner

Phone

(252) 234-5921

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1124363031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NASH ST W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934012",
            "telephone_number": "252-234-5921",
            "fax_number": "888-386-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NASH ST W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934012",
            "telephone_number": "252-234-5921",
            "fax_number": "888-386-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARSCREEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "TOMMEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-234-5921",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Jamal Clark
• Edward Joseph Clark III, M.D.
• John Philip Clarke, CPO
• Natalie Tamara Clarke, PMHNP
• Terry Claycomb, DPM
• Clement B Woodard DDS PA
• Susan Janet Clifton, LCSW
• CNC / Access Inc.
• CNC / Access Inc.
• CNC Access, Inc.

• Mental Health Counselor in Wilson, NC
• Providers in Wilson, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.