Clearwater Counseling & Wellness LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301013517 Issued in MI

Legal business name

CLEARWATER COUNSELING & WELLNESS LLC

Practice address

1525 E Beltline SE
Grand Rapids, MI 49525-4598

Phone

(616) 304-6158

NPI assigned

Mar 15, 2017

Organization subpart

No

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

Authorized official

Name

Barbara HomrichNPI 1760469027

Title

Owner

Phone

(616) 304-6158

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barbara J Homrich, MA LLP

  • Clinical Psychologist
  • Grand Rapids, MI
  • NPI 1760469027
  Medicare reassignment Care Compare group Authorized official
• Aaron Frostick, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1861946048
  Medicare reassignment Care Compare group NPD
• Sara Lynn Nagengast, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1982708400
  Medicare reassignment Care Compare group NPD
• Lauren M Guttersen, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1669713525
  Medicare reassignment NPD
• Jaclyn Michelle Abbate, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1144678210
  NPD

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1720529332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E BELTLINE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495254598",
            "telephone_number": "616-304-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E BELTLINE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495254598",
            "telephone_number": "616-304-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER COUNSELING & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "HOMRICH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-304-6158"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devetta Clayton
• Clear Connections Chiropractic PLLC
• Clear Sky Eyecare
• Clear Sky Holdings, LLC
• Clearer View Counseling LLC
• Cassie Jo Cleary, LMSW
• Garrett A Cleaver, OT
• Bradley J Clegg, DO
• Mackenzie Erin Clegg
• Amanda Kay Cleland

• Psychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.