Active NPI
Clear Horizons, LLC
- Community/Behavioral Health Agency
- Saint Paul, MN
National Provider Identifier
1790017721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 00024
- Legal business name
- CLEAR HORIZONS, LLC
- Practice address
- 1352 Phalen Blvd
Saint Paul, MN 55106-2145 - Phone
- (651) 324-0536
- NPI assigned
- Feb 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krishone Aki Hughes-Polk, CPRP, LPCC
- Title
- Director
- Phone
- (651) 324-0536
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 00024 | MN | Primary |
| Community/Behavioral Health Agency | 251S00000X | 174706 | MN |
Addresses
Primary practice location
1352 Phalen Blvd
Saint Paul, MN 55106-2145
Mailing address
1352 Phalen Blvd
Saint Paul, MN 55106-2145
Phone (651) 324-0536
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/21877/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264982400000",
"number": "1790017721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1352 PHALEN BLVD",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551062145",
"telephone_number": "651-324-0536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1352 PHALEN BLVD",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551062145",
"telephone_number": "651-324-0536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEAR HORIZONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-01",
"last_updated": "2010-02-01",
"status": "A",
"authorized_official_last_name": "HUGHES-POLK",
"authorized_official_first_name": "KRISHONE",
"authorized_official_middle_name": "AKI",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "651-324-0536",
"authorized_official_credential": "CPRP, LPCC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": "00024",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": "174706",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.