Hannah Clark

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

102 Macy Dr
Roswell, GA 30076-6329

Phone

(678) 534-3824

NPI assigned

May 14, 2021

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Jan 8, 2024 through Jan 8, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hannah Clark, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Atlanta, GA
  • NPI 1972319051
  NPD Authorized official
• Restoration Coaching of Atlanta, LLC

  • Professional Counselor
  • Roswell, GA
  • NPI 1285480004
  NPD
• Restoration Counseling of Atlanta, LLC

  • Mental Health Counselor
  • Roswell, GA
  • NPI 1851712640
  NPD

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1043884075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 FRANKLIN GTWY SE APT 8G",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300672860",
            "telephone_number": "423-723-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MACY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766329",
            "telephone_number": "678-534-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Circulatory Centers Georgia, P.C.
• April S Clark, MS, LAT, ATC
• Elizabeth Clark
• Gabriela Clark, FNP-C
• Gerald H. Clark, M.D.
• Madison Clark
• Stephanie Clark, LMFT, LPC
• Suzanne Clark, LPC
• Lakeisha Clay, RBT
• Lynda Dianna Clayton, CRNA

• Mental Health Counselor in Roswell, GA
• Providers in Roswell, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.