Laura Ayala Clark, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC28962 Issued in CA

Practice address

88 Long CT Ste C
Thousand Oaks, CA 91360-6065

Phone

(805) 379-8765

Fax

(805) 493-1231

NPI assigned

Jul 4, 2006

Last updated

Jul 8, 2007By 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

State licenses

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245260009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 LONG CT STE C",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606065",
            "telephone_number": "805-379-8765",
            "fax_number": "805-493-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 LONG CT STE C",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606065",
            "telephone_number": "805-379-8765",
            "fax_number": "805-493-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LAURA",
        "middle_name": "AYALA",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC28962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Hope Medical Foundation (City of Hope Thousand Oaks)
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• Clarity Surgical Group a Professional Medical Corporation
• Alice Bryce Clark, MS, RD
• Leo Clark, BA
• Wenessa Anne Clark
• Vanessa Clavel
• Clean Treatment Center, Inc.
• Arline Louise Clyburn, M.N.,C.S.,R.N.

• Marriage & Family Therapist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.