Michael Clark

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18841841 Issued in TX

Practice address

1107 Lavender Shade Court
Houston, TX 77073

Phone

(817) 707-4440

NPI assigned

Oct 2, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Merit Youth & Adult Services of Texas

  • Mental Health Counselor
  • Houston, TX
  • NPI 1477425023
  NPD Authorized official

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1215534227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CYPRESS CREEK PKWY STE 536",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903530",
            "telephone_number": "817-707-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 LAVENDER SHADE COURT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77073",
            "telephone_number": "817-707-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-02",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "18841841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mr.michael.clark00@gmai.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "HOUSTON",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mr.michael.clark00@gmail.com",
            "address_1": "40 Cypress Creek Pkwy Ste 536",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770903530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marylou Clark
• Matthew David Clark, PHARM.D.
• McKenzie Clark
• Meaghann Clark, RPA-C
• Melanie Patrice Clark, M.A, LPC
• Molly Clark, P.T.
• Monica Andrea Clark, MD
• Natarsha Lynette Clark, FNP-BC
• Neale Clark, MD
• Nova Lynette Clark, MA, LPC

• 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 Oct 10, 2025; 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.