Paris Nicole Clark, MA
Individual provider Active NPI Professional Counselor · Kansas City, KS
NPI 1154885382 · NPPES record last updated Jan 22, 2019
Key facts
- NPI
- 1154885382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 7840 Washington Ave
Kansas City, KS 66112-2152 - Phone
- (913) 563-6500
- NPI assigned
- Jan 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03688 | KS | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
7840 Washington Ave
Kansas City, KS 66112-2152
Mailing address
7020 Delavan Ave
Kansas City, KS 66109-1308
Phone (913) 563-2239
Other providers in Kansas City, KS
- Diane Marie Cibrik
- Muhammed Bahadir Ciftci
- Amber Nicole Clark
- Karen Lee Clark
- Margaret E Clark
- Shelby Leigh Clark
- Sherrie Marie Clark
- Victoria Clark
- Ingrid Yvonne Clarke
- Linda L Clarkson
All providers in Kansas City, KS · Professional Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.