Clear Springs Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CLEAR SPRINGS THERAPY PLLC

Practice address

4210 Ella LN
Johnsburg, IL 60051-5433

Phone

(815) 995-0306

NPI assigned

May 7, 2024

Last updated

May 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Blea, LCSWNPI 1457030165

Title

Owner

Phone

(815) 995-0306

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael E Blea

  • Clinical Social Worker
  • Johnsburg, IL
  • NPI 1457030165
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1902654916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 ELLA LN",
            "city": "JOHNSBURG",
            "state": "IL",
            "postal_code": "600515433",
            "telephone_number": "815-995-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 ELLA LN",
            "city": "JOHNSBURG",
            "state": "IL",
            "postal_code": "600515433",
            "telephone_number": "815-995-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR SPRINGS THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "BLEA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-995-0306",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aroop Banerji, N.D. LAC
• Michael E Blea
• Kathleen Blount
• Center for Emotional Wellness of the Northwest Suburbs
• Chiro One Wellness Center of McHenry LLC
• Crossroads Counseling Center LLC
• Jennifer Desimone
• Taylor Espinosa, BSN, RN, IBCLC
• Kimberly Joy Frazier, M.A.,CCC-SLP
• Thomas J Frymark, DDS

• Clinical Social Worker in Johnsburg, IL
• Providers in Johnsburg, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.