CLEARWATER COUNSELING (NPI# 1134361207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134361207 |
| Entity Type | Organization |
| Organization Name | CLEARWATER COUNSELING |
| Practice Address |
318 1/2 E Main St Grangeville ID 83530-2238 |
| Mailing Address |
1020 Main St Po Box 1123 Lewiston ID 83501-1842 |
| Practice Telephone | 2089837717 |
| Practice Fax Number | 2089837787 |
| Mailing Telephone | 2087438101 |
| Mailing Fax Number | 2087467402 |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2009-04-03 |
| Authorized Official Name | MR. MARK ROBERT JONES (OWNER) |
| Authorized Official Telephone | 2087438101 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | CLEARWATER COUNSELING |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
LCSW1120 | ID | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
LCPC4218 | ID | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807373700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669860672 | Clearwater Counseling | Counselor | 4717 Gunbarrel Pl, Grand Island, NE 68801-8504 | 2014-12-26 |
| 1073634929 | Clearwater Counseling | Counselor | 006 Main, Kooskia, ID 83539 | 2007-04-02 |
| 1003937996 | Clearwater Counseling | Counselor | 221 Main, Craigmont, ID 83523 | 2007-04-02 |
| 1518088475 | Clearwater Counseling | Counselor | 1020 Main, Lewiston, ID 83501 | 2007-04-02 |
| 1760503676 | Clearwater Counseling | Counselor | 318 E. Main, Grangeville, ID 83530 | 2007-04-02 |
| 1003937962 | Clearwater Counseling | Social Worker | 112 West 4th #5, Moscow, ID 83843 | 2007-04-02 |
| 1952422842 | Clearwater Counseling | Counselor | 112 West 4th # 5, Moscow, ID 83843 | 2007-04-02 |
| 1346531894 | Clearwater Counseling | Counselor | 7616 Currell Blvd, Suite 200, Woodbury, MN 55125-2290 | 2011-05-02 |
| 1780856906 | Clearwater Counseling | Clinic/Center | 684 E Vine St Ste 4a, Murray, UT 84107-5540 | 2008-03-27 |
| 1225159189 | Clearwater Counseling | Social Worker | 221 Main, Craigmont, ID 83523 | 2007-04-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CLEARWATER COUNSELING | 450 Country Club Rd Ste 320, Eugene, OR 97401 |
| Colorado Business Entities | Clearwater Counseling and Wellness, LLC | 1956 South Swadley Street, Lakewood, CO 80228 |
| New York State Corporations | CLEARWATER COUNSELING ASSOCIATES LCSW, PLLC | 11 Broadway Suite 615, New York, New York 10004 |
| New York State Corporations | CLEARWATER COUNSELING ASSOCIATES LLC | 11 Broadway, Suite 615, New York City, Ny 10004 |
| New York State Corporations | CLEARWATER COUNSELING, INC. | 11 Broadway Suite 615, New York, Ny 10004 |
| Washington State Corporations | CLEARWATER COUNSELING, PLLC | 1914 N. 34th St, #504, Seattle, WA 98103 |
| Street Address |
318 1/2 E MAIN ST |
| City | GRANGEVILLE |
| State | ID |
| Zip Code | 83530-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740629146 | Jennifer Bryn Wolffing | Counselor | 318 1/2 E Main St, Grangeville, ID 83530-2238 | 2013-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386197424 | Tolo Tranportation LLC | Non-emergency Medical Transport (VAN) | 78 Poor Farm Rd, Grangeville, ID 83530 | 2016-07-25 |
| 1043689441 | Derek R Wynn | Physician Assistant | 607 W Main Street, Grangeville, ID 83530 | 2015-09-16 |
| 1528468139 | Joanne M Belch | Counselor | 83 Highway 95 North, Camas Professional Counseling, Grangeville, ID 83530 | 2014-09-02 |
| 1679875462 | Oi Min Anthony Chai | Physical Therapist | 183 Farrens Creek Lane, Grangeville, ID 83530 | 2010-11-30 |
| 1346569647 | Valleyview Recovery | Case Management | 109 S. Mill St., Grangeville, ID 83530 | 2010-05-26 |
| 1760503676 | Clearwater Counseling | Counselor | 318 E. Main, Grangeville, ID 83530 | 2007-04-02 |
| 1659452019 | Bradley J Schaff | Dentist | 615 W North St, Grangeville, ID 83530 | 2006-10-18 |
| 1518051366 | Wayne L Hollopeter | Family Medicine | 721 W. North Street, Grangeville, ID 83530 | 2006-10-03 |
| 1417252719 | Syringa General Hospital District Cif | General Acute Care Hospital | 607 West Main Street, Grangeville, ID 83530 | 2011-01-18 |
| 1669553020 | Allen Raymond Chenoweth | Dentist | 615 W North St, Grangeville, ID 83530 | 2006-10-18 |
| Find all providers in zip 83530 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174820401 | Idaho Dept of Health & Welfare Reg 2 Amh | Clinic/Center | 216 S C St, Grangeville, ID 83530-1342 | 2011-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808019 | Helping Hearts Counseling Center, Pllc | Clinic/Center | 310 Cleveland Blvd, Caldwell, ID 83605-3624 | 2020-10-12 |
| 1811502438 | Dale Wilson Counseling and Evaluation | Clinic/Center | 6126 W State St Ste 101, Boise, ID 83703-2741 | 2020-09-10 |
| 1144843285 | Whole Health Counseling LLC | Clinic/Center | 2616 W Jefferson St, Boise, ID 83702-4713 | 2020-05-23 |
| 1033740865 | Jackie Nelson, Pllc | Clinic/Center | 202 N 9th St Ste 401c, Boise, ID 83702-5770 | 2020-01-30 |
| 1437621646 | Joanne Burgio Phd LLC | Clinic/Center | 3061 S Meridian Rd Ste 150, Meridian, ID 83642-7962 | 2018-12-28 |
| 1700394822 | Lookout Behavioral Health LLC | Clinic/Center | 7905 N Meadowlark Way Ste A, Coeur D Alene, ID 83815-5041 | 2018-01-11 |
| 1346759495 | Pacific Mind Institute | Clinic/Center | 2596 N Stokesberry Pl Ste 165, Meridian, ID 83646-6281 | 2017-09-20 |
| 1336599976 | Easy Go Express | Clinic/Center | 3551 W Antelope Rd, Moore, ID 83255-8754 | 2016-06-14 |
| 1669808614 | Integrated Interventions LLC | Clinic/Center | 2482 E. Glacier Rd., Hayden Lake, ID 83835 | 2013-09-23 |
| 1447695630 | Susan M. Beglinger, Ltd | Clinic/Center | 206 E Indiana Ave, Suite 112, Coeur D Alene, ID 83814-2969 | 2013-05-01 |
| Find all providers with the same taxonomy | ||||
| City | GRANGEVILLE |
| Zip Code | 83530 |
Please comment or provide details below to improve the information on CLEARWATER COUNSELING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.