Danielle Marisa Clark, MA, RMHCI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

14301 Issued in FL

Practice address

6800 N Dale Mabry Hwy Ste 164
Tampa, FL 33614-3979

Phone

(813) 443-4827

NPI assigned

Aug 31, 2017

Last updated

Mar 17, 2018By 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

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": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1215455092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 BUTTERFIELD ST",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 N DALE MABRY HWY STE 164",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143979",
            "telephone_number": "813-443-4827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 Maitland Center Commons Blvd Ste 212",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327517270",
            "country_code": "US",
            "telephone_number": "555-555-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DANIELLE",
        "middle_name": "MARISA",
        "name_prefix": "Mrs.",
        "credential": "MA, RMHCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "14301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Michelle Clark, PHARMD
• Celeiny Clark
• Claudia Clark
• Colby Clark, M.D.
• Dana Clark, AP,DOM
• Erica J. Clark, PSY.D.
• Gabriel M Clark, MPT
• Glenda S. Clark, LCSW
• Kailey Clark, ARNP-C
• Kali Amara Clark, FNC-C

• Mental Health Counselor in Tampa, FL
• Providers in Tampa, 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 Mar 17, 2018; 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.