Organization Active NPI

Clear Conscience Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Plainfield, NJ
National Provider Identifier
1194257329
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CLEAR CONSCIENCE COUNSELING, LLC
Practice address
2509 Park Ave Ste 2B
South Plainfield, NJ 07080-5369
Phone
(973) 454-6711
NPI assigned
Mar 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Authorized official

Name
John Gore, MHS, LPC, LCADC
Title
Executive Director
Phone
(973) 454-6711

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

2509 Park Ave Ste 2B
South Plainfield, NJ 07080-5369

Mailing address

2509 Park Ave Ste 2B
South Plainfield, NJ 07080-5369
Phone (973) 454-6711

National Provider Directory

National Provider Directory
Tax ID family
Clear Conscience Counseling LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1194257329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 PARK AVE STE 2B",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805369",
            "telephone_number": "973-454-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 PARK AVE STE 2B",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805369",
            "telephone_number": "973-454-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CONSCIENCE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-454-6711",
        "authorized_official_credential": "MHS, LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.