Organization Active NPI

Clear Vision Counseling, LLC.

  • Mental Health Counselor
  • Columbia, SC
National Provider Identifier
1306448527
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CLEAR VISION COUNSELING, LLC.
Practice address
1627 Auburn St.
Columbia, SC 29204
Phone
(803) 888-9058
NPI assigned
Nov 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Shamiquia McPherson, M.A. LPCSNPI 1023492287
Title
Owner
Phone
(803) 888-9058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1627 Auburn St.
Columbia, SC 29204

Mailing address

1627 Auburn St
Columbia, SC 29204-1411
Phone (803) 888-9058

Other identifiers 2

IdentifierTypeStateIssuer
PC1668MedicaidSC
PG0446MedicaidSC

Other names 1

  • Shamiquia McPherson Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250218002617 SC Part B Supplier - Clinic/Group Practice 0840710034 Receives reassigned benefits from 2 practitioners
Practice locations: Columbia, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1306448527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 AUBURN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041411",
            "telephone_number": "803-888-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 AUBURN ST.",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29204",
            "telephone_number": "803-888-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR VISION COUNSELING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "SHAMIQUIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-888-9058",
        "authorized_official_credential": "M.A. LPCS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1668",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PG0446",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shamiquia McPherson",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Shamiquia McPherson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.