Clearwater Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CLEARWATER COUNSELING, LLC

Practice address

3533 Gulf Shores Pkwy Ste A1
Gulf Shores, AL 36542-2823

Phone

(251) 207-1104

NPI assigned

Dec 27, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Lyle Cooper II, LPCNPI 1740019504

Title

Counselor/Owner

Phone

(251) 207-1104

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lyle Keith Cooper II, LPC

  • Mental Health Counselor
  • Gulf Shores, AL
  • NPI 1740019504
  NPD Authorized official

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1376351940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 GULF SHORES PKWY STE A1",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365422823",
            "telephone_number": "251-207-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 GULF SHORES PKWY STE A1",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365422823",
            "telephone_number": "251-207-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "LYLE",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "251-207-1104",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lyle Keith Cooper II, LPC

• Professional Counselor in Gulf Shores, AL
• Providers in Gulf Shores, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.