NPIMap

Organization Active NPI

North Star Counseling a Licensed Clinical Social Worker Corporation

Doing business as North Star Counseling

  • Clinical Social Worker
  • Clovis, CA
National Provider Identifier
1730105479
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS14876 Issued in CA
Legal business name
NORTH STAR COUNSELING A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Doing business as
North Star Counseling
Practice address
624 Woodworth Ave
Clovis, CA 93612-1847
Phone
(559) 297-6060
Fax
(559) 297-6061
NPI assigned
Jul 14, 2006
Last updated
Apr 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Authorized official

Name
Mark B McOmber, LCSWNPI 1700806197
Title
President
Phone
(559) 297-6060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS14876 CA Primary

Addresses

Primary practice location

624 Woodworth Ave
Clovis, CA 93612-1847

Mailing address

624 Woodworth Ave
Clovis, CA 93612-1847
Phone (559) 297-6060

Other names 1

  • North Star Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1730105479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 WOODWORTH AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121847",
            "telephone_number": "559-297-6060",
            "fax_number": "559-297-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 WOODWORTH AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121847",
            "telephone_number": "559-297-6060",
            "fax_number": "559-297-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR COUNSELING A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "MCOMBER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-297-6060",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS14876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Star Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.