Clear Mind Counseling

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CLEAR MIND COUNSELING

Practice address

1765 W Golf Course Rd
Coeur D Alene, ID 83815-9033

Phone

(208) 763-0606

NPI assigned

Sep 4, 2024

Last updated

Sep 4, 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

Tyson Durbin, LPC,LMHC

Title

Owner/Therapist

Phone

(208) 704-1617

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1982439683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 W TUALATIN DR",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545185",
            "telephone_number": "208-704-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 W GOLF COURSE RD",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159033",
            "telephone_number": "208-763-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MIND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "DURBIN",
        "authorized_official_first_name": "TYSON",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "208-704-1617",
        "authorized_official_credential": "LPC,LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randil L Clark, M.D.
• Sarena Clark
• Tyler Clark, MD
• Danielle Clarkson, CNM
• Sarah Renee Claussen, D.O.
• Clearing the Path Therapy LLC
• Fern Cleary
• Mark Lawrence Clelland, CNP
• Montanna Clendening, LPC
• Clint P Clifford, DC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.