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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: August 02, 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
Phone(573) 308-1540
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
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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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE ANN PARSONS LMSW
Social Worker
1202 HOMELIFE PLZ
ROLLA, MO 65401
Phelps County (573) 308-1540
LORI D WOODS
Counselor (Mental Health)
1202 HOMELIFE PLZ
ROLLA, MO 65401
Phelps County (573) 308-1540
JESSICA MARIE NEWTON MA, PLPC
Counselor (Professional)
1202 HOMELIFE PLZ
ROLLA, MO 65401
Phelps County (573) 308-1540
KATHRYN M MCKNIGHT MA, LPC
Counselor (Professional)
1202 HOMELIFE PLZ
ROLLA, MO 65401
Phelps County (573) 308-1540
JEFFREY M COHEN LPC
Counselor (Professional)
1202 HOMELIFE PLZ
ROLLA, MO 65401
Phelps County (573) 578-5497

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.

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 20 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.