Deanna Carol Clark, M.A., MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC39887 Issued in CA

Practice address

911 E Colorado Blvd Ste 200
Pasadena, CA 91106-1773

Phone

(818) 319-1956

NPI assigned

Jun 29, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1013145093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 W. ALAMEDA AVE. PMB 208",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062846",
            "telephone_number": "818-319-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E COLORADO BLVD STE 200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061773",
            "telephone_number": "818-319-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DEANNA",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "M.A., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC39887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarity Mental Health
• Arlene Clark
• Brittney Clark, BA
• Carol T Clark
• Christopher Clark
• Devonte Clark
• Jennifer Clark
• Kahavai Soleil Teremoemoe Clark
• Kylia Clark, LMFT
• Marvin Clark

• Mental Health Counselor in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.