Clear Life Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3023 Issued in CT

Legal business name

CLEAR LIFE COUNSELING, LLC

Practice address

45 S Main St
West Hartford, CT 06107-2441

Phone

(860) 414-4245

NPI assigned

Oct 15, 2016

Last updated

Oct 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline BanasiewiczNPI 1013467133

Title

Owner/Member

Phone

(860) 395-9857

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, and the practitioner matching its NPPES authorized official.

• Jacqueline Banasiewicz, LPC

  • Professional Counselor
  • West Hartford, CT
  • NPI 1013467133
  NPD (past) Authorized official

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

{
    "created_epoch": "1476489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476489600000",
    "number": "1265983191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 WOOD CREEK RD",
            "city": "BURLINGTON",
            "state": "CT",
            "postal_code": "060131920",
            "telephone_number": "860-395-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072441",
            "telephone_number": "860-414-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR LIFE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-15",
        "last_updated": "2016-10-15",
        "status": "A",
        "authorized_official_last_name": "BANASIEWICZ",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "860-395-9857"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "3023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Arlene Clarke, LPN
• Maribel Claudio, MS, LPC
• Clementine Counseling
• Jessica Clemmenson, OTR/L
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• Professional Counselor in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2016; 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.