Organization Active NPI

Clutch Counseling Services LLC

  • Mental Health Counselor
  • Wellington, FL
National Provider Identifier
1386418960
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CLUTCH COUNSELING SERVICES LLC
Practice address
11924 Forest Hill Blvd Ste 10a-419
Wellington, FL 33414-6256
Phone
(561) 229-2085
NPI assigned
Nov 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Niaza Knowles, LMHC, NCCNPI 1275161978
Title
Owner
Phone
(561) 229-2085

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

11924 Forest Hill Blvd Ste 10a-419
Wellington, FL 33414-6256

Mailing address

8240 Garden Catalina Cir Apt 1513
Lake Worth, FL 33467-6755
Phone (561) 229-2085

Other names 1

  • Clutch Counseling Services, LLC Other name

National Provider Directory

National Provider Directory

Locations

11924 Forest Hill Blvd
Ste 10A419
Wellington, FL 33414
Phone (561) 229-2085

Practitioners & affiliated clinicians

Practitioners 1

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": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1386418960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 GARDEN CATALINA CIR APT 1513",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676755",
            "telephone_number": "561-229-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11924 FOREST HILL BLVD STE 10A-419",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146256",
            "telephone_number": "561-229-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLUTCH COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-12",
        "status": "A",
        "authorized_official_last_name": "KNOWLES",
        "authorized_official_first_name": "NIAZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-229-2085",
        "authorized_official_credential": "LMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clutch Counseling Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.