Active NPI
Ashley Clark, LPC
- Professional Counselor
- Houston, TX
National Provider Identifier
1255735288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 70342
- Practice address
- 18333 Egret Bay Blvd Ste 580
Houston, TX 77058-3266 - Phone
- (713) 816-7290
- NPI assigned
- Oct 20, 2014
- Last updated
- Aug 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 70342 | TX | Primary |
Addresses
Primary practice location
18333 Egret Bay Blvd Ste 580
Houston, TX 77058-3266
Mailing address
18333 Egret Bay Blvd Ste 580
Houston, TX 77058-3266
Phone (713) 816-7290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 13, 2025 through Mar 13, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70342 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashley Clark, LLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Friendswood, TX
- NPI 1952707036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1255735288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18333 EGRET BAY BLVD STE 580",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770583266",
"telephone_number": "713-816-7290",
"fax_number": "281-480-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18333 EGRET BAY BLVD STE 580",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770583266",
"telephone_number": "713-816-7290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "ASHLEY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-20",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "70342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.