Clark Counseling & Consulting, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

004805 Issued in GA

Legal business name

CLARK COUNSELING & CONSULTING, INC.

Practice address

2386 Clower St Ste D-100
Snellville, GA 30078-6134

Phone

(404) 550-0564

Fax

(678) 344-2956

NPI assigned

Sep 16, 2009

Organization subpart

No

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

Authorized official

Name

Aletha Jennifer Clark, PHD, LPCNPI 1912049594

Title

Owner

Phone

(404) 550-0564

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aletha Jennifer Clark, PHD, LPC

  • Professional Counselor
  • Snellville, GA
  • NPI 1912049594

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1215260666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300780955",
            "telephone_number": "404-550-0564",
            "fax_number": "678-344-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 CLOWER ST STE D-100",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786134",
            "telephone_number": "404-550-0564",
            "fax_number": "678-344-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK COUNSELING & CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ALETHA",
        "authorized_official_middle_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-550-0564",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "1658-R",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "004805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Chrisman, C.R.N.A.
• Mary McMahan Christenbury, M.D.
• Pamela Litchfield Chubbuck, LPC, LISW
• Constance Chukwuka, RD
• CJC Health Solutions, LLC
• Aletha Jennifer Clark, PHD, LPC
• Renee Clark
• Sandra Clark, L.C.S.W.
• Sarah Clark, RBT
• Will Clark, MS, APC, NCC

• Professional Counselor in Snellville, GA
• Providers in Snellville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.