Organization Active NPI

Kindness and Clarity Counseling

  • Clinical Social Worker
  • Palm Coast, FL
National Provider Identifier
1497527501
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KINDNESS AND CLARITY COUNSELING
Practice address
4 Office Park Dr
Palm Coast, FL 32137-3855
Phone
(386) 503-0522
Fax
(386) 845-9293
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Ms. Deborah Reilly, LCSWNPI 1144566373
Title
Ambr
Phone
(386) 503-0522

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4 Office Park Dr
Palm Coast, FL 32137-3855

Mailing address

41 Lake Forest PL
Palm Coast, FL 32137-8044
Phone (386) 503-0522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240220000032 FL Part B Supplier - Clinic/Group Practice 8224472121 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Coast, FL

National Provider Directory

National Provider Directory

Locations

4865 Palm Coast Pkwy NW
Unit 4
Palm Coast, FL 32137
Phone (386) 446-5494

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": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1497527501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 LAKE FOREST PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378044",
            "telephone_number": "386-503-0522",
            "fax_number": "386-845-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OFFICE PARK DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373855",
            "telephone_number": "386-503-0522",
            "fax_number": "386-845-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDNESS AND CLARITY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "386-503-0522",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.