Clear Water Therapy
NPI 1144861576ActiveOrganization· Counselor, Mental Health· Rolla, MO
Counselor, Mental Health in Rolla, Missouri, registered in NPPES in October 2019. The authorized official on file is Rebecca Sidwell, LPC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1144861576 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 7, 2019 |
| Last updated in NPPES | Nov 18, 2024 |
| Certified by provider | Nov 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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