Clear Life Consulting LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

CLEAR LIFE CONSULTING LLC

Practice address

4750 Belcrest Way
Cumming, GA 30041

Phone

(469) 352-5180

NPI assigned

Feb 1, 2021

Organization subpart

No

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

Authorized official

Name

Kyrstin A Jimenez, PHD, LPCNPI 1780929422

Title

Owner/President

Phone

(469) 352-5180

Specialties & licenses 1

Addresses

Other names 1

• CLEAR LIFE COUNSELING & TESTING Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyrstin Anne Jimenez, PHD, LPC

  • Professional Counselor
  • Cumming, GA
  • NPI 1780929422
  NPD Authorized official

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1982295150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3482 KEITH BRIDGE RD UNIT 416",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415546",
            "telephone_number": "469-352-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 BELCREST WAY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30041",
            "telephone_number": "469-352-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR LIFE CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "KYRSTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "469-352-5180",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLEAR LIFE COUNSELING & TESTING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina S Clark, PHARM. D.
• Elliott Cline Clark, PHARMD.
• Melissa Clark
• Victoria Elizabeth Clark, OTR
• Jenna Clausen-Voorhees, RBT
• Clear Life Counseling & Testing
• Clearview Eye Care, Inc
• Cleaver Medical Group Dermatology Inc
• Cleaver Medical Group PC
• Cleaver Medical Group Surgery Center

• Counseling Psychologist in Cumming, GA
• Providers in Cumming, GA by specialty
• Counseling Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.