Clear Conscience Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

37PC00590800 Issued in NJ

Legal business name

CLEAR CONSCIENCE COUNSELING, LLC

Practice address

2509 Park Ave Ste 2B
South Plainfield, NJ 07080-5369

Phone

(973) 435-2881

Fax

(732) 756-1021

NPI assigned

Oct 18, 2017

Last updated

Oct 18, 2019By 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. John Gore, LPC, LCADCNPI 1619337482

Title

Executive Director

Phone

(973) 454-6711

Specialties & licenses 2

Addresses

Tax ID family

Clear Conscience Counseling LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Clear Conscience Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Plainfield, NJ
  • NPI 1194257329
  NPD tax ID
• Clear Conscience Counseling, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • South Plainfield, NJ
  • NPI 1598296907
  NPD tax ID

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.

• John Gore

  • Addiction (Substance Use Disorder) Counselor
  • South Plainfield, NJ
  • NPI 1619337482
  Authorized official Same address or phone

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1619488541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BRANDYWINE CIR",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088542704",
            "telephone_number": "973-454-6711",
            "fax_number": "732-756-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 PARK AVE STE 2B",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805369",
            "telephone_number": "973-435-2881",
            "fax_number": "732-756-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CONSCIENCE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-454-6711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "37PC00590800",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "37LC00233200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in South Plainfield, NJ
• Providers in South Plainfield, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.