Charla Hughes Clark, MA, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5042 Issued in TX

Practice address

14780 Memorial Dr
Ste. 206
Houston, TX 77079-5284

Phone

(713) 906-9930

NPI assigned

Sep 2, 2006

Sex

Female

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

• Ms. Charla Clark Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174625883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7822 NORTHWOODS DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796429",
            "telephone_number": "713-906-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14780 MEMORIAL DR",
            "address_2": "STE. 206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795284",
            "telephone_number": "713-906-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CHARLA",
        "middle_name": "HUGHES",
        "name_prefix": "Ms.",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "5042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLA",
            "last_name": "CLARK",
            "prefix": "MS.",
            "credential": "MA, LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Caitlin Mallory Clark, PHD
• Camecia Euvonne Clark, LPC
• Candice Clark, FNP-C
• Carey Alexander Clark IV
• Charisse Dansereau Clark, LPT
• Charles Patrick Clark, PA-C
• Chelsea Clark
• Cheris Clark
• Christina Michelle Clark, DDS
• Dana Clark, MD

• Mental Health Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.