Clear Mind Counseling and Neurofeedback

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CLEAR MIND COUNSELING AND NEUROFEEDBACK

Practice address

2947 Jefferson St N Ste 5
Lewisburg, WV 24901-5796

Phone

(304) 992-4747

NPI assigned

Dec 19, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Charles Andrew Johnson II, LPC, MANPI 1518711423

Title

Owner

Phone

(304) 992-4747

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles A Johnson II, MA, LPC

  • Professional Counselor
  • Beckley, WV
  • NPI 1518711423
  NPD Authorized official

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1548078876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2947 JEFFERSON ST N STE 5",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249015796",
            "telephone_number": "304-261-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2947 JEFFERSON ST N STE 5",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249015796",
            "telephone_number": "304-992-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MIND COUNSELING AND NEUROFEEDBACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-992-4747",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LPC, MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Taylor Chapman
• Kenneth D Chapman
• Charles S. McClung Sr., DO
• Mary Elizabeth Cillo, RN
• Jordan Parker Clark
• Carolyn S Cleaton
• Tammy Renee Clevenger
• Jill D Cochran, RNC FNP
• Juanita Irean Cochran
• Alice M Coff

• Mental Health Counselor in Lewisburg, WV
• Providers in Lewisburg, WV by specialty
• Mental Health Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.