Organization Active NPI

Cler Family Solutions LLC

  • Professional Counselor
  • Algonquin, IL
National Provider Identifier
1255971156
Registry record updated Aug 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CLER FAMILY SOLUTIONS LLC
Practice address
12 Waterfront CT
Algonquin, IL 60102
Phone
(847) 503-9041
NPI assigned
Jan 9, 2020
Last updated
Aug 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2024

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

Authorized official

Name
Carol Petrakis Martin, LCSW
Title
Owner
Phone
(847) 503-9041

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

12 Waterfront CT
Algonquin, IL 60102

Mailing address

12 Waterfront CT
Algonquin, IL 60102
Phone (847) 503-9041

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address CLERFAMILY@COMCAST.NET
Direct Messaging Address CLERFAMILY@COMCAST.NET
Direct Messaging Address clerfamily@comcast.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200311001826 IL Part B Supplier - Clinic/Group Practice 8426486127 Receives reassigned benefits from 1 practitioner
Practice locations: Algonquin, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723334400000",
    "number": "1255971156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WATERFRONT CT",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "60102",
            "telephone_number": "847-503-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WATERFRONT CT",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "60102",
            "telephone_number": "847-503-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLER FAMILY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2024-08-11",
        "certification_date": "2024-08-11",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "PETRAKIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-503-9041",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CLERFAMILY@COMCAST.NET",
            "affiliation": "N",
            "address_1": "12 WATERFRONT CT",
            "city": "ALGONQUIN",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CLERFAMILY@COMCAST.NET",
            "affiliation": "N",
            "address_1": "12 WATERFRONT CT",
            "city": "ALGONQUIN",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clerfamily@comcast.net",
            "affiliation": "N",
            "address_1": "12 WATERFRONT CT",
            "city": "ALGONQUIN",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.