Organization Active NPI

Clear Sky Counseling, P.C.

  • Clinical Social Worker
  • Kingsley, MI
National Provider Identifier
1811495666
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801058939 Issued in MI
Legal business name
CLEAR SKY COUNSELING, P.C.
Practice address
2283 E M 113
Kingsley, MI 49649-9370
Phone
(231) 818-7907
NPI assigned
Jan 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Authorized official

Name
Cheryl S Dann, MSW
Title
Owner/Agent
Phone
(231) 215-1608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801058939 MI Primary

Addresses

Primary practice location

2283 E M 113
Kingsley, MI 49649-9370

Mailing address

PO Box 712
Kingsley, MI 49649-0712
Phone (231) 818-7907

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1811495666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 712",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496490712",
            "telephone_number": "231-818-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2283 E M 113",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496499370",
            "telephone_number": "231-818-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR SKY COUNSELING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "DANN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/AGENT",
        "authorized_official_telephone_number": "231-215-1608",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801058939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.