Organization Active NPI

Clear Horizons, LLC

  • Community/Behavioral Health Agency
  • Saint Paul, MN
National Provider Identifier
1790017721
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
00024 Issued in MN
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

Updated by the provider on Feb 1, 2010

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)CodeLicenseStatePrimary
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 Directory

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.