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CLEAN & CLEAR ADVANTAGE, LLC
NPI 1790390839
Counselor - Addiction (Substance Use Disorder) in Parkersburg, WV

Active since September 15, 2020CLIA 51D2248423 · Waiver
425 JULIANA ST, PARKERSBURG, WV 26101(917) 863-4133 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 28, 2026, Aug 8, 2024, Sep 15, 2020 (3 updates tracked since 2020).

About Clean & Clear Advantage, Llc NPPES

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

CLEAN & CLEAR ADVANTAGE, LLC (NPI 1790390839) is a healthcare organization registered as an addiction (substance use disorder) in Parkersburg, West Virginia and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through January 12, 2028 and lists C C A, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1790390839
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameCLEAN & CLEAR ADVANTAGE, LLC
Location Address425 JULIANA STParkersburg, WV 26101-5352
Mailing Address425 Juliana StParkersburg, WV 26101-5352 · (304) 893-9777
Phone(917) 863-4133
Organization SubpartNo
Authorized OfficialC C AChief Operating Officer · (304) 893-9777
Enumeration DateSeptember 15, 2020
Last NPPES UpdateApril 28, 20263 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1790390839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
425 JULIANA ST, Parkersburg, WV 26101
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2248423

Clean & Clear Advantage LLC · Parkersburg, WV
Active · expires Jan 12, 2028
CLIA Number51D2248423
Laboratory TypeMental Health Drug & Alco
Certificate Effective DateJanuary 13, 2026
Certificate Expiration DateJanuary 12, 2028
Laboratory DirectorDr. Mark Mcdaniel
Laboratory Phone(917) 863-4133
Laboratory LocationClean & Clear Advantage LLC425 Juliana St, Parkersburg, WV 26101
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

CHRISTINA ANN GIBSON
Licensed Practical Nurse
425 JULIANA ST
PARKERSBURG, WV 26101
Wood County (304) 893-9777
NICHOLAS RYAN WAUGH
Behavior Technician
425 JULIANA ST
PARKERSBURG, WV 26101
Wood County (304) 494-4434
TEAL DAVIS LPN
Licensed Practical Nurse
425 JULIANA ST
PARKERSBURG, WV 26101
Wood County (304) 893-9777
ERIC STARCHER
Behavior Technician
425 JULIANA ST
PARKERSBURG, WV 26101
Wood County (304) 893-9777
CLEAN AND CLEAR ADVANTAGE
Nursing Care
425 JULIANA ST
PARKERSBURG, WV 26101
Wood County (304) 893-9777
ERICLEE HARMON
Behavior Technician
425 JULIANA ST
PARKERSBURG, WV 26101
Wood County (304) 893-9777
CYNTHIA HOWERTON BSW, LSW
Social Worker
425 JULIANA ST
PARKERSBURG, WV 26101
Wood County (304) 494-5932
TAMMY ANN OWEN NRCMA
Behavior Technician
425 JULIANA ST
PARKERSBURG, WV 26101
Wood County (304) 689-4334

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 Clean & Clear Advantage, LLC's NPI number?

The NPI number for Clean & Clear Advantage, LLC is 1790390839. It was assigned to this organization in the NPPES registry on September 15, 2020.

Where is Clean & Clear Advantage, LLC located?

Clean & Clear Advantage, LLC is located at 425 Juliana St, Parkersburg, WV 26101. The listed phone number is (917) 863-4133.

What is Clean & Clear Advantage, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Does Clean & Clear Advantage, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2248423) is associated with this NPI, valid through January 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clean & Clear Advantage, LLC accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Clean & Clear Advantage, LLC 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 Clean & Clear Advantage, LLC was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.