Active NPI
Clear & Creative Counseling LLC
- Professional Counselor
- Houston, TX
National Provider Identifier
1144707175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 71796
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia J Bandemer, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3650327-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- Houston, TX
- NPI 1013468073
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.