CLEAR WATER THERAPY
NPI 1144861576
Counselor - Mental Health in Rolla, MO

Active since October 07, 2019
1202 HOMELIFE PLZ, ROLLA, MO 65401(573) 308-1540 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 18, 2024, Oct 7, 2019 (2 updates tracked since 2019).

About Clear Water Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEAR WATER THERAPY (NPI 1144861576) is a healthcare organization registered as a mental health in Rolla, Missouri and active in the NPI registry since October 2019. The organization lists Rebecca Sidwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1144861576
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCLEAR WATER THERAPY
Location Address1202 HOMELIFE PLZRolla, MO 65401-2512
Mailing Address1310 Hillview DrRolla, MO 65401-2549
Organization SubpartNo
Authorized OfficialRebecca SidwellOwner · (303) 704-1967
Enumeration DateOctober 7, 2019
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1144861576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1202 HOMELIFE PLZ, Rolla, MO 65401

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clear Water Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Clear Water Therapy, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Mental Health Counselor
NPI 1417660440
1202 HOMELIFE PLZ
Rolla, MO 65401
(573) 308-1540
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1972082840
1450 E 10TH ST
Rolla, MO 65401
(888) 403-1071
✔ PECOS✔ Accepts Medicare0.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clear Water Therapy's NPI number?

The NPI number for Clear Water Therapy is 1144861576. It was assigned to this organization in the NPPES registry on October 7, 2019.

Where is Clear Water Therapy located?

Clear Water Therapy is located at 1202 Homelife Plz, Rolla, MO 65401. The listed phone number is (573) 308-1540.

What is Clear Water Therapy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Clear Water Therapy enrolled in Medicare?

Yes. Clear Water Therapy is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clear Water Therapy?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Clear Water Therapy. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Clear Water Therapy accept?

Health plans from Anthem Blue Cross and Blue Shield list Clear Water Therapy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clear Water Therapy was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.