Clare Lavender, PHD, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH4557 Issued in FL

Practice address

2054 Riverside Ave Apt 5403
Jacksonville, FL 32204-4448

Phone

(904) 318-5245

NPI assigned

Apr 25, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1619308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619308800000",
    "number": "1649852054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 RIVERSIDE AVE APT 5403",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044448",
            "telephone_number": "904-318-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 RIVERSIDE AVE APT 5403",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044448",
            "telephone_number": "904-318-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVENDER",
        "first_name": "CLARE",
        "credential": "PHD, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-25",
        "last_updated": "2021-04-25",
        "certification_date": "2021-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Lauzier, RBT
• Olivia Lauzon, LCSW, LSWAIC
• David Lavanderos
• Dianne H Lavelle, APN
• Madison Elizabeth Lavelle
• Jordan Michael Lavender
• Gretchen A Lavergne, M.S., CCC-SLP
• Orlyn Claire Yap Lavilla, M.D
• Zenaida L Lavina, MD
• Victoria Kay Lavine, PHARMD

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2021; 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.