Clear Life Relationship Counseling, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

CLEAR LIFE RELATIONSHIP COUNSELING, LLC

Practice address

4514 251St St # 112
Little Neck, NY 11362-1339

Phone

(347) 433-0432

NPI assigned

Aug 18, 2022

Organization subpart

No

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

Authorized official

Name

Crystal Jo, MA

Title

LMFT

Phone

(862) 294-3011

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1801514583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 251ST ST # 112",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 251ST ST # 112",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621339",
            "telephone_number": "347-433-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR LIFE RELATIONSHIP COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "JO",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "862-294-3011",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.