Organization Active NPI

Clear Path Counseling, PLLC

  • Mental Health Counselor
  • Geneva, IL
National Provider Identifier
1568104602
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CLEAR PATH COUNSELING, PLLC
Practice address
2172 Blackberry Dr Ste 110
Geneva, IL 60134-1103
Phone
(630) 313-0069
NPI assigned
Apr 9, 2022
Last updated
Oct 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Robert Foreman
Title
Credentialing
Phone
(630) 313-0069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

2172 Blackberry Dr Ste 110
Geneva, IL 60134-1103

Mailing address

2172 Blackberry Dr Ste 110
Geneva, IL 60134-1103
Phone (630) 313-0069

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230214000992 IL Part B Supplier - Clinic/Group Practice 8224400551 Receives reassigned benefits from 6 practitioners
Practice locations: South Elgin, IL; Geneva, IL

National Provider Directory

National Provider Directory

Locations

2172 Blackberry Dr
Ste 110
Geneva, IL 60134
Phone (630) 216-9767

476 Briargate Dr
South Elgin, IL 60177
Phone (630) 216-9767

3833 E Main St
Unit 2011
St Charles, IL 60174

Practitioners & affiliated clinicians

Practitioners 8

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": "1649462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1568104602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 BLACKBERRY DR STE 110",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341103",
            "telephone_number": "630-313-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2172 BLACKBERRY DR STE 110",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341103",
            "telephone_number": "630-313-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR PATH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-09",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "630-313-0069"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.