Individual provider Active NPI

Charles Trevon Clow, PH.D., LMHC

  • Mental Health Counselor
  • New Smyrna Beach, FL
National Provider Identifier
1679515274
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH5611 Issued in FL
Practice address
221 N Causeway
Suite B
New Smyrna Beach, FL 32169-5298
Phone
(386) 428-4564
Fax
(386) 428-4539
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH5611 FL Primary

Addresses

Primary practice location

221 N Causeway
Suite B
New Smyrna Beach, FL 32169-5298

Mailing address

221 N Causeway
Suite B
New Smyrna Beach, FL 32169-5298
Phone (386) 428-4564

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH5611FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trevon Clow Counseling Therapies, Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679515274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N CAUSEWAY",
            "address_2": "SUITE B",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321695298",
            "telephone_number": "386-428-4564",
            "fax_number": "386-428-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N CAUSEWAY",
            "address_2": "SUITE B",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321695298",
            "telephone_number": "386-428-4564",
            "fax_number": "386-428-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOW",
        "first_name": "CHARLES",
        "middle_name": "TREVON",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.