Clear Minds Coaching & Counseling, LLC
Organization Active NPI Professional Counselor · Norwalk, OH
NPI 1346861747 · NPPES record last updated Jul 12, 2021
Key facts
- NPI
- 1346861747
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- CLEAR MINDS COACHING & COUNSELING, LLC
- Practice address
- 4 E Seminary St
Norwalk, OH 44857-2121 - Phone
- (567) 424-6003
- Fax
- (855) 429-4118
- NPI assigned
- Apr 27, 2020
- Organization subpart
- No
Authorized official
- Name
- Bethany Chime
- Title
- Ceo
- Phone
- (567) 424-6003
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 2
Practitioners 4
-
Sunita Agarwal, M.D.
-
Patti S Cassidy, PC
-
Bethany Chime, LPCC-S
-
Dody Cuson, LISW-S
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210719001594 | OH | Part B Supplier - Clinic/Group Practice | 1658774344 |
Receives reassigned benefits from 4 practitioners 1 other NPI on this enrollment Practice locations: Willard, OH; Norwalk, OH; Bellevue, OH |
National Provider Directory
- Tax ID family
- Clear Minds Coaching Counseling LLC
Locations
4 E Seminary St
Norwalk, OH 44857
Phone (567) 424-6003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | |||
| Mental Health Counselor |
101YM0800X | |||
| Professional Counselor |
101YP2500X | Yes | ||
| Case Manager/Care Coordinator |
171M00000X |
Addresses
Primary practice location
4 E Seminary St
Norwalk, OH 44857-2121
Mailing address
4 E Seminary St
Norwalk, OH 44857-2121
Phone (567) 424-6003
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0366854 | Medicaid | OH | |
| 0366006 | Medicaid | OH | |
| 0176243 | Medicaid | OH | |
| 0281527 | Medicaid | OH |
Other providers in Norwalk, OH
- Amanda L. Christofferson
- Ryan D Christofferson
- Abigail Christine Chudzinski
- Juliana M Clark
- Kelsey Clark
- Clear Minds Coaching & Counseling, LLC
- Clear Minds Coaching & Counseling, LLC
- Cli Incorporated
- Cli Incorporated
- Cli, Incorporated
All providers in Norwalk, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.