Clearwater Counseling and Personal Growth Center, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1203 Issued in WI

Legal business name

CLEARWATER COUNSELING AND PERSONAL GROWTH CENTER, INC.

Practice address

4330 Golf Ter Ste 214
Eau Claire, WI 54701-4688

Phone

(715) 832-4060

Fax

(844) 829-0296

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Janice Susan O'Connor, M.S.W., L.C.S.W.NPI 1518000314

Title

Director

Phone

(715) 832-4060

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Janice Susan O'Connor, M.S.W., L.C.S.W.

  • Mental Health Counselor
  • Eau Claire, WI
  • NPI 1518000314
  NPD (past) Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1205979168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 GOLF TER STE 214",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014688",
            "telephone_number": "715-832-4060",
            "fax_number": "844-829-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 GOLF TER STE 214",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014688",
            "telephone_number": "715-832-4060",
            "fax_number": "844-829-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER COUNSELING AND PERSONAL GROWTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-832-4060",
        "authorized_official_credential": "M.S.W., L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clearsky Rehabilitation Hospital of Eau Claire LLC
• Clearwater Assisted Living
• Clearwater Care Center, LLC
• Clearwater Chiropractic LLC
• Clearwater Chiropractic LLC
• Clearwater Dental SC
• Marjorie Ann Clement, DDS
• Hailey J Cline, OTR/L
• Clinic for Christian Counseling LLC
• Clinicare Corporation

• Mental Health Counselor in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.