Suzanne Jones Clark, APRN, LPC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP09208 Issued in LA

Practice address

8280 YMCA Plaza Dr
10 B
Baton Rouge, LA 70810-0927

Phone

(225) 278-3541

Fax

(225) 755-1211

NPI assigned

Oct 23, 2013

Reactivated

Feb 27, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2020 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• SKJ Professional Services, LLC

  • Adult Mental Health Clinic/Center
  • Baton Rouge, LA
  • NPI 1538675459
  NPD
• Family Focus, LLC

  • Clinic/Center
  • Baton Rouge, LA
  • NPI 1538532593
  NPD (past)

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1093143463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8280 YMCA PLAZA DR",
            "address_2": "10 B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100927",
            "telephone_number": "225-278-3541",
            "fax_number": "225-755-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 YMCA PLAZA DR",
            "address_2": "10 B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100927",
            "telephone_number": "225-278-3541",
            "fax_number": "225-755-1211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8303 OHara Ct",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708066513",
            "country_code": "US",
            "telephone_number": "225-231-7155",
            "fax_number": "225-231-7160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SUZANNE",
        "middle_name": "JONES",
        "name_prefix": "Ms.",
        "credential": "APRN, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-02",
        "deactivation_date": "2019-02-13",
        "reactivation_date": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4199",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP09208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontdesk@familyfocusbr.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct communication",
            "address_1": "8303 OHara Ct",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708066513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Merry Lacy Clark, M.S., CCC/SLP
• Robert Austin Clark, MD
• Roshonna Clark
• Sandra B Clark, CRNA
• Simon Clark, D.O.
• Vanessa Young Clark, PT
• Raymond Clarke
• Bailey Noel Clary
• Hope Wakefield Clary, NP
• Harold George Clausen, MD

• Psychiatric/Mental Health Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.