Louisa Ann Clark, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH-4716 Issued in FL

Practice address

430 Athens St
Tarpon Springs, FL 34689-3104

Phone

(727) 709-8964

Fax

(352) 610-9272

NPI assigned

Sep 2, 2006

Last updated

Nov 17, 2011By the provider in NPPES

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 identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1184726895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1996",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346881996",
            "telephone_number": "727-709-8964",
            "fax_number": "352-610-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 ATHENS ST",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893104",
            "telephone_number": "727-709-8964",
            "fax_number": "352-610-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LOUISA",
        "middle_name": "ANN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH-4716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007418288",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "Z020B",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC LICENSE #",
            "identifier": "MH-4716",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "193239",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greyby Cid Lopez
• Cindi a Yantz MD, MSPH, LLC
• Maria Pseftelis Ciraldo, FNP
• CK Pharma (Anclote pharmacy)
• Kesha Joelle Clark, ARNP
• Meridith Jill Clark, P.A.
• Gina Marie Clements, MD
• Coast Florida P.a. (Coast Dental-Tarpon Springs)
• Coast to Coast Podiatry Inc
• Coastal Orthopedic Advantage LLC

• Mental Health Counselor in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.