Active NPI
Clifford Bernard Norman Jr., MS, NCC, LMHC
- Mental Health Counselor
- Lafayette, IN
National Provider Identifier
1598568719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39004605A
- Practice address
- 615 N 18TH St Ste 106
Lafayette, IN 47904-3413 - Phone
- (765) 205-8002
- NPI assigned
- Mar 31, 2025
- Last updated
- May 3, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39004605A | IN | Primary |
Addresses
Primary practice location
615 N 18TH St Ste 106
Lafayette, IN 47904-3413
Mailing address
3233 Brady LN
Lafayette, IN 47909-3825
Phone (727) 768-9176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39004605A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guardian Way LLC | Current | Accepting new patients |
Locations
615 N 18th St
Ste 106
Lafayette, IN 47904
Phone (765) 205-8002
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lafayette, IN
- NPI 1184510489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746230400000",
"number": "1598568719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3233 BRADY LN",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479093825",
"telephone_number": "727-768-9176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N 18TH ST STE 106",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479043413",
"telephone_number": "765-205-8002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORMAN",
"first_name": "CLIFFORD",
"middle_name": "BERNARD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MS, NCC, LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-31",
"last_updated": "2025-05-03",
"certification_date": "2025-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39004605A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
- Jhon M Nogales Pimienta, MD
- Hayley Nolan, BCBA
- Traivon Nolen
- Bryan Norkus, MD
- Norman Eyecare LTD. (Norman & Miller EyeCare)
- North Central Health Services Inc.
- Jessica Lynn Northcutt, FNP-C
- Northland Hearing Centers, Inc. (Midwest Medical Hearing Centers)
- Abigayle Norton, CST
- Marwa Noureldin, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.