NPIMap

Organization Active NPI

Clearstone Counseling LLC

  • Clinical Social Worker
  • Tucker, GA
National Provider Identifier
1871136838
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CLEARSTONE COUNSELING LLC
Practice address
3774 Lavista Rd Ste 100D
Tucker, GA 30084-5618
Phone
(404) 450-6634
NPI assigned
Oct 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Authorized official

Name
Eileen Buelt, LCSWNPI 1780061770
Title
Owner
Phone
(404) 450-6634

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

3774 Lavista Rd Ste 100D
Tucker, GA 30084-5618

Mailing address

3774 Lavista Rd Ste 100D
Tucker, GA 30084-5618
Phone (404) 450-6634

National Provider Directory

National Provider Directory

Locations

3774 Lavista Rd
Ste 100D
Tucker, GA 30084
Phone (404) 450-6634

Practitioners & affiliated clinicians

Practitioners 1

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": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1871136838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3774 LAVISTA RD STE 100D",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845618",
            "telephone_number": "404-450-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3774 LAVISTA RD STE 100D",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845618",
            "telephone_number": "404-450-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARSTONE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "BUELT",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-450-6634",
        "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": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.