Ronald Clarke Jr., LSATP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0718000508 Issued in VA

Practice address

127 Tunstall Rd
Danville, VA 24541-4236

Phone

(434) 835-4476

NPI assigned

Jan 5, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Ronald Clarke Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Buddy Transportation Services, LLC.

  • Non-emergency Medical Transport (VAN)
  • Danville, VA
  • NPI 1881423325
  NPD Authorized official
• Peak Wellness Clinic PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Concord, NC
  • NPI 1942719950

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1174284889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 BROOKE DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245402337",
            "telephone_number": "434-250-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 TUNSTALL RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414236",
            "telephone_number": "434-835-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "RONALD",
        "name_suffix": "Jr.",
        "credential": "LSATP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONALD",
            "last_name": "CLARKE",
            "prefix": "MR.",
            "credential": "LSATP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jada Nyiesha Clark
• Jessica Clark
• Kanchan Puri Clark, MD
• Nancy Coppic Clark, O.D.
• Tiffany Devon Clark
• Clearview Rehabilitation Services, LLC
• Nathaniel A Cleaveland, D.O.
• Matthew Edward Clem, DO
• Marquita Lynnette Clements
• Susan Lynn Clifford, BCBA

• Addiction (Substance Use Disorder) Counselor in Danville, VA
• Providers in Danville, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.