Rachael Lynne Clark

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

312 E White Horse Pike
Galloway, NJ 08205-9565

Phone

(609) 652-1600

NPI assigned

Sep 19, 2022

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1134842883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PATRICIAN TER",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082346945",
            "telephone_number": "609-457-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E WHITE HORSE PIKE",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059565",
            "telephone_number": "609-652-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "RACHAEL",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher K Chong MD PC
• Elizabeth Christopher, LAC
• Daniel J Ciechanowski, D.M.D.
• Rebecca Cino, PHARMD
• Catherine A Cipolla, LCSW
• Claudia Prapawiwat, MD
• CNL Galloway, LLC (Spring Village at Galloway)
• CNL Galloway, LLC (Spring Village at Galloway)
• Coastal Calm LLC
• Coastal Chiropractic

• Mental Health Counselor in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.