Organization Active NPI

Clearer View Counseling LLC

  • Social Worker
  • Grand Rapids, MI
National Provider Identifier
1356962658
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
CLEARER VIEW COUNSELING LLC
Practice address
1345 Monroe Ave NW Ste 323
Grand Rapids, MI 49505-4674
Phone
(616) 648-4407
Fax
(616) 608-4657
NPI assigned
Apr 28, 2020
Last updated
Mar 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Nicole M Kotchka, LMSW,CAADC
Title
Provider
Phone
(616) 648-4407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

1345 Monroe Ave NW Ste 323
Grand Rapids, MI 49505-4674

Mailing address

1345 Monroe Ave NW Ste 323
Grand Rapids, MI 49505-4674
Phone (616) 648-4407

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201020001249 MI Part B Supplier - Clinic/Group Practice 3870913411 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Rapids, MI

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": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1356962658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 MONROE AVE NW STE 323",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054674",
            "telephone_number": "616-648-4407",
            "fax_number": "616-608-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 MONROE AVE NW STE 323",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054674",
            "telephone_number": "616-648-4407",
            "fax_number": "616-608-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARER VIEW COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "KOTCHKA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "616-648-4407",
        "authorized_official_credential": "LMSW,CAADC"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.