Organization Active NPI

Clear Mind Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Providence, RI
National Provider Identifier
1588314371
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CLEAR MIND COUNSELING LLC
Practice address
8 Hillview Dr
North Providence, RI 02904-4617
Phone
(508) 216-0077
Fax
(508) 507-3350
NPI assigned
Mar 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Mandy Crystal Baker, LMHCNPI 1922160555
Title
Owner
Phone
(508) 216-0077

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

8 Hillview Dr
North Providence, RI 02904-4617

Mailing address

371 Putnam Pike
Ste 230 PMB 1003
Smithfield, RI 02917
Phone (508) 216-0077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240129004143 RI Part B Supplier - Clinic/Group Practice 8527411289 Receives reassigned benefits from 1 practitioner
Practice locations: North Providence, RI

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": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1588314371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 PUTNAM PIKE",
            "address_2": "STE 230 PMB 1003",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "02917",
            "telephone_number": "508-216-0077",
            "fax_number": "508-507-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HILLVIEW DR",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044617",
            "telephone_number": "508-216-0077",
            "fax_number": "508-507-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MIND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MANDY",
        "authorized_official_middle_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-216-0077",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.