Clear Passage Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CLEAR PASSAGE COUNSELING

Practice address

7671 Old Central Ave NE
Suite 202
Fridley, MN 55432-3575

Phone

(763) 786-8067

Fax

(763) 786-5080

NPI assigned

Oct 27, 2011

Last updated

Nov 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William Leonard Hicks, LMFTNPI 1487903381

Title

Owner

Phone

(763) 786-8067

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, and the practitioner matching its NPPES authorized official.

• William Leonard Hicks, LMFT

  • Marriage & Family Therapist
  • Fridley, MN
  • NPI 1487903381
  NPD (past) Authorized official

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1609152198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7671 OLD CENTRAL AVE NE",
            "address_2": "SUITE 208",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323575",
            "telephone_number": "763-786-8067",
            "fax_number": "763-786-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7671 OLD CENTRAL AVE NE",
            "address_2": "SUITE 202",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323575",
            "telephone_number": "763-786-8067",
            "fax_number": "763-786-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR PASSAGE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-786-8067",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Fridley, MN
• Providers in Fridley, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.