NPIMap

Organization Active NPI

Clearwind Farm

  • Community/Behavioral Health Agency
  • Winston Salem, NC
National Provider Identifier
1447590229
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4824 Issued in NC
Legal business name
CLEARWIND FARM
Practice address
2946 Canter LN
Winston Salem, NC 27127-8803
Phone
(336) 775-7881
NPI assigned
Feb 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Authorized official

Name
Matthew Case, LPCNPI 1134227267
Title
Manager, Therapist
Phone
(336) 775-7881

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4824 NC Primary

Addresses

Primary practice location

2946 Canter LN
Winston Salem, NC 27127-8803

Mailing address

2946 Canter LN
Winston Salem, NC 27127-8803
Phone (336) 775-7881

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.

NPI Registry JSON

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1447590229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 CANTER LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271278803",
            "telephone_number": "336-775-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 CANTER LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271278803",
            "telephone_number": "336-775-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWIND FARM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGER, THERAPIST",
        "authorized_official_telephone_number": "336-775-7881",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "4824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.