Organization Active NPI

Clear & Creative Counseling LLC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1144707175
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
71796 Issued in TX
Legal business name
CLEAR & CREATIVE COUNSELING LLC
Practice address
17300 El Camino Real Ste 107D
Houston, TX 77058-2715
Phone
(281) 787-5558
NPI assigned
Jul 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Authorized official

Name
Cynthia J Bandemer, LPCNPI 1013468073
Title
Owner
Phone
(281) 787-5558

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 71796 TX Primary

Addresses

Primary practice location

17300 El Camino Real Ste 107D
Houston, TX 77058-2715

Mailing address

2323 Clear Lake City Blvd Ste 180-308
Houston, TX 77062-8120
Phone (281) 787-5558

Other identifiers 1

IdentifierTypeStateIssuer
3650327-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

2323 Clear Lake City Blvd
Ste 180308
Houston, TX 77062

17300 El Camino Real
Ste 107D
Houston, TX 77058
Phone (281) 787-5558

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1144707175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 CLEAR LAKE CITY BLVD STE 180-308",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770628120",
            "telephone_number": "281-787-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 EL CAMINO REAL STE 107D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582715",
            "telephone_number": "281-787-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR & CREATIVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "BANDEMER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-787-5558",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3650327-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.