Organization Active NPI

Clifty Counseling LLC

  • Clinical Social Worker
  • Madison, IN
National Provider Identifier
1801640305
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CLIFTY COUNSELING LLC
Practice address
703 Green Rd Ste 1
Madison, IN 47250-2145
Phone
(812) 290-8237
NPI assigned
Apr 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Miss Michelle Renee Howard, LCSWNPI 1205111325
Title
Social Worker/Therapist
Phone
(812) 290-8237

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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

703 Green Rd Ste 1
Madison, IN 47250-2145

Mailing address

703 Green Rd Ste 1
Madison, IN 47250-2145
Phone (812) 290-8237

Other names 1

  • LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241125002887 IN Part B Supplier - Clinic/Group Practice 9638604820 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, IN
O20250109003944 IN Part B Supplier - Clinic/Group Practice 9638604820 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, IN

National Provider Directory

National Provider Directory

Locations

703 Green Rd
Ste 1
Madison, IN 47250
Phone (812) 265-9900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1801640305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 GREEN RD STE 1",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472502145",
            "telephone_number": "812-290-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 GREEN RD STE 1",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472502145",
            "telephone_number": "812-290-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "SOCIAL WORKER/THERAPIST",
        "authorized_official_telephone_number": "812-290-8237",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madison, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.