Active NPI
Clear Star Wellness and Staffing LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waterford, MI
National Provider Identifier
1942174107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- CLEAR STAR WELLNESS AND STAFFING LLC
- Practice address
- 4515 Highland Rd Ste 800
Waterford, MI 48328-1132 - Phone
- (810) 884-6225
- Fax
- (313) 241-9386
- NPI assigned
- Oct 1, 2025
- Last updated
- Mar 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ebere Agulanna, PMHNP-BC
- Title
- Member
- Phone
- (586) 925-6216
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
4515 Highland Rd Ste 800
Waterford, MI 48328-1132
Mailing address
4515 Highland Rd Ste 800
Waterford, MI 48328-1132
Phone (810) 884-6225
National Provider Directory
National Provider DirectoryLocations
4515 Highland Rd
Ste 800
Waterford, MI 48328
Phone (810) 884-6225
Practitioners & affiliated clinicians
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Waterford, MI
- NPI 1316756174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772928000000",
"number": "1942174107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4515 HIGHLAND RD STE 800",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483281132",
"telephone_number": "810-884-6225",
"fax_number": "313-241-9386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 HIGHLAND RD STE 800",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483281132",
"telephone_number": "810-884-6225",
"fax_number": "313-241-9386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEAR STAR WELLNESS AND STAFFING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-01",
"last_updated": "2026-03-08",
"certification_date": "2026-03-08",
"status": "A",
"authorized_official_last_name": "AGULANNA",
"authorized_official_first_name": "EBERE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "586-925-6216",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
- Katie Lenore Clancy, RN
- Clarity Eye Contact, PLLC (Eye Contact Vision Center)
- Davita Clark
- Kelly Ann Clark, BCBA
- Lindsay Marie-Portrey Clark
- Sheri Anne Clements, PA-C
- Larissa Clemons
- Clinic for Functional Physical Therapy Inc.
- Clintonville Pharmacy LLC (Clintonville Pharmacy)
- Zackary Joseph Clor, DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.