Active NPI
Clear Vista Counseling PLLC
- Mental Health Counselor
- Charlotte, NC
National Provider Identifier
1396368767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CLEAR VISTA COUNSELING PLLC
- Practice address
- 1218 East Blvd Ste E
Charlotte, NC 28203-6158 - Phone
- (704) 912-1074
- NPI assigned
- May 20, 2020
- Last updated
- May 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theresa Leskowat, MS LCMHC
- Title
- Owner
- Phone
- (918) 207-6499
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
1218 East Blvd Ste E
Charlotte, NC 28203-6158
Mailing address
3838 Saxonbury Way
Charlotte, NC 28269-9437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659675304 | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
1218 East Blvd
Ste E
Charlotte, NC 28203
Phone (704) 912-1074
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1609458892
-
- Counselor
- Tulsa, OK
- NPI 1659675304
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1053936336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589932800000",
"number": "1396368767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3838 SAXONBURY WAY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282699437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 EAST BLVD STE E",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282036158",
"telephone_number": "704-912-1074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEAR VISTA COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-20",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A",
"authorized_official_last_name": "LESKOWAT",
"authorized_official_first_name": "THERESA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-207-6499",
"authorized_official_credential": "MS LCMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1659675304",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Clear Creek Counseling and Consulting PC
- Clear Foundations Therapy and Assessment PLLC
- Clear Mind Counseling, LLC
- Clear View Eye Care OD PA (Eye Care Center)
- Clear View Mentality
- Jeffrey Charles Cleary, MD
- Sheridan Whalen Cleave
- Sylvia Cledaras, PTA
- Herbert Clegg II, MD
- Grace Katherine Cleland, MS, RDN, LDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.