Elizabeth Carol Clark

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

560 Cohasset Rd Ste 180
Chico, CA 95926-2460

Phone

(530) 552-4799

NPI assigned

May 13, 2025

Reactivated

Jan 21, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1063203735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 NATIVE OAK DR APT 337",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287886",
            "telephone_number": "530-680-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 COHASSET RD STE 180",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262460",
            "telephone_number": "530-552-4799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3221 Cohasset Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959735405",
            "country_code": "US",
            "telephone_number": "530-552-4799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ELIZABETH",
        "middle_name": "CAROL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "deactivation_date": "2025-12-28",
        "reactivation_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly T Cibart
• William Clapham, MFT
• Alterick Clark
• Brock Clark, DO
• Correna Leann Clark
• Erika Leigh Clark
• Erin Elizabeth Clark, DPT, PT
• Jackson Lee Clark
• Jennifer L. Clark, DDS, MSD
• Melinda Anne Clark

• Counselor in Chico, CA
• Providers in Chico, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.