NPIMap

Organization Active NPI

Clearwater Counseling Inc.

  • Community/Behavioral Health Agency
  • Hudson, NY
National Provider Identifier
1477914364
Registry record updated Mar 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
73071192 Issued in NY
Legal business name
CLEARWATER COUNSELING INC.
Practice address
430 E Allen St
Hudson, NY 12534-2423
Phone
(518) 567-2225
NPI assigned
Mar 19, 2016
Last updated
Mar 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2016

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

Authorized official

Name
Mr. Jules Canez, LCSWRNPI 1417186362
Title
President
Phone
(518) 567-2225

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 73071192 NY Primary

Addresses

Primary practice location

430 E Allen St
Hudson, NY 12534-2423

Mailing address

10 Beadart PL
Hyde Park, NY 12538-1218
Phone (518) 567-2225

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1458345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458345600000",
    "number": "1477914364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BEADART PL",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381218",
            "telephone_number": "518-567-2225",
            "fax_number": "845-868-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E ALLEN ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342423",
            "telephone_number": "518-567-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER COUNSELING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-19",
        "last_updated": "2016-03-19",
        "status": "A",
        "authorized_official_last_name": "CANEZ",
        "authorized_official_first_name": "JULES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-567-2225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSWR"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "73071192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2016; 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.