NPIMap

Organization Active NPI

Clarity Counseling and Mediation Inc

  • Clinical Social Worker
  • Rockford, IL
National Provider Identifier
1780647651
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149009491 Issued in IL
Legal business name
CLARITY COUNSELING AND MEDIATION INC
Practice address
483 N Mulford Rd
Suite 4
Rockford, IL 61107-5191
Phone
(815) 520-2303
Fax
(815) 977-5984
NPI assigned
Apr 10, 2006
Last updated
May 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Ms. Stephanie Anne Johnson, MSWNPI 1023235983
Title
Partner/LCSW
Phone
(815) 703-1001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149009491 IL Primary

Addresses

Primary practice location

483 N Mulford Rd
Suite 4
Rockford, IL 61107-5191

Mailing address

483 N Mulford Rd
Suite 4
Rockford, IL 61107-5191
Phone (815) 520-2303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160909000775 IL Part B Supplier - Clinic/Group Practice 3678869179 Receives reassigned benefits from 7 practitioners
Practice locations: Rockford, IL

National Provider Directory

National Provider Directory

Locations

333 Amphitheater Dr
Rockford, IL 61107
Phone (815) 227-0988

483 N Mulford Rd
Ste 4
Rockford, IL 61107
Phone (815) 520-2303

Practitioners & affiliated clinicians

Practitioners 7

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": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1780647651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 N MULFORD RD",
            "address_2": "SUITE 4",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075191",
            "telephone_number": "815-520-2303",
            "fax_number": "815-977-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 N MULFORD RD",
            "address_2": "SUITE 4",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075191",
            "telephone_number": "815-520-2303",
            "fax_number": "815-977-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARITY COUNSELING AND MEDIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PARTNER/LCSW",
        "authorized_official_telephone_number": "815-703-1001",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.