Active NPI
Cleverick M Adams, LMHC
- Mental Health Counselor
- Groveland, FL
National Provider Identifier
1245421841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH8349
- Practice address
- 7432 Highway 50
Suite 109
Groveland, FL 34736-9322 - Phone
- (407) 470-2195
- Fax
- (407) 445-9145
- NPI assigned
- Aug 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MAC-23612 | FL | |
| Mental Health Counselor | 101YM0800X | MH8349 | FL | Primary |
| Group Psychotherapy Psychologist | 103TP2701X | MH8349 | FL |
Addresses
Primary practice location
7432 Highway 50
Suite 109
Groveland, FL 34736-9322
Mailing address
7432 Highway 50
Suite 109
Groveland, FL 34736-9322
Phone (407) 470-2195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MAC-23612 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| MH8349 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True Life Counseling | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| True Life Counseling., Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Groveland, FL
- NPI 1568653202
-
- Mental Health Counselor
- Groveland, FL
- NPI 1639317670
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1245421841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7432 HIGHWAY 50",
"address_2": "SUITE 109",
"city": "GROVELAND",
"state": "FL",
"postal_code": "347369322",
"telephone_number": "407-470-2195",
"fax_number": "407-445-9145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7432 HIGHWAY 50",
"address_2": "SUITE 109",
"city": "GROVELAND",
"state": "FL",
"postal_code": "347369322",
"telephone_number": "407-470-2195",
"fax_number": "407-445-9145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "CLEVERICK",
"middle_name": "M",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-07",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "MAC-23612",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH8349",
"primary": true
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "FL",
"license": "MH8349",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Groveland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.