Individual provider Active NPI

Vanessa Cleere, M.ED LPC

  • Counselor
  • Robinson, TX
National Provider Identifier
1891346623
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
73558 Issued in TX
Practice address
1109 Beard Ave # 2
Robinson, TX 76706-5070
Phone
(254) 716-2937
NPI assigned
Sep 23, 2019
Last updated
Sep 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 73558 TX Primary

Addresses

Primary practice location

1109 Beard Ave # 2
Robinson, TX 76706-5070

Mailing address

1109 Beard Ave # 2
Robinson, TX 76706-5070
Phone (254) 716-2937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260331001258 TX Practitioner - Mental Health Counselor 6507341260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1007 N Betsy Dr
Robinson, TX 76706-4901

500 Westover Dr
Sanford, NC 27330-8941

510 N Valley Mills Dr
Suite 304
Waco, TX 76710-6076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
73558TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Medical Providers PC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1891346623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 BEARD AVE # 2",
            "city": "ROBINSON",
            "state": "TX",
            "postal_code": "767065070",
            "telephone_number": "254-716-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 BEARD AVE # 2",
            "city": "ROBINSON",
            "state": "TX",
            "postal_code": "767065070",
            "telephone_number": "254-716-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEERE",
        "first_name": "VANESSA",
        "credential": "M.ED LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "73558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robinson, TX

Sources for this page

Verify at the official NPI Registry.