Clear Vision Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A1202015 Issued in AR

Legal business name

CLEAR VISION COUNSELING LLC

Practice address

615 N Walton Blvd
Suite M
Bentonville, AR 72712-4546

Phone

(479) 270-2806

Fax

(870) 455-4485

NPI assigned

Jan 28, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra Underwood, M.S.NPI 1407182272

Title

Owner / Therapist

Phone

(479) 270-2806

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.

• Sandra M Underwood, M.S., LPC, LAMFT

  • Professional Counselor
  • Bentonville, AR
  • NPI 1407182272
  NPD (past) Authorized official

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

{
    "created_epoch": "1485561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485561600000",
    "number": "1699212613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N WALTON BLVD",
            "address_2": "SUITE M",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124546",
            "telephone_number": "479-270-2806",
            "fax_number": "870-455-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N WALTON BLVD",
            "address_2": "SUITE M",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124546",
            "telephone_number": "479-270-2806",
            "fax_number": "870-455-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR VISION COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-28",
        "last_updated": "2017-01-28",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER / THERAPIST",
        "authorized_official_telephone_number": "479-270-2806",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1202015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Ray Clark, RPH
• Tyler Clark
• Christina Clausen, MHPP
• Clear Med Solutions LLC
• Clear Med Solutions LLC
• Mildred Murphy Clifton, M.D.
• Cmtherapy LLC
• Jeffrey David Coats
• Korie Cochran
• Sarah Anne Cochran, M.A, CCC-SLP

• Mental Health Counselor in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2017; 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.