Rosemary Clark, LPC, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

SC5583 Issued in SC

Practice address

22 Bellereve Dr
Bluffton, SC 29909-3134

Phone

(843) 540-8368

NPI assigned

May 25, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1194018069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BELLEREVE DR",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299093134",
            "telephone_number": "843-564-8275",
            "fax_number": "843-781-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BELLEREVE DR",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299093134",
            "telephone_number": "843-540-8368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Traders Cross",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299094637",
            "country_code": "US",
            "telephone_number": "912-713-2833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ROSEMARY",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006327",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "SC5583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candyce Childress
• Kathy Lyn Christman, MD
• Barbara Ann Christy, RN
• Emily Ciccarella, DPT
• Lori Karin Clark, DC
• Coastal Carolina Physician Practices LLC
• Coastal Empire Mental Health
• Coastal Foot & Ankle Center LLC
• Coastal Pain & Spine Center LLC
• Coastal Pain and Spine Center, Inc

• Professional Counselor in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.