Kenuated L Clarke, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13722 Issued in FL

Practice address

602 Melton Ave
Auburndale, FL 33823-4428

Phone

(863) 967-8190

Fax

(863) 967-8192

NPI assigned

May 10, 2018

Last updated

May 10, 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cotler Healthcare & Development Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellington, FL
  • NPI 1225075047

  Multi-Specialty

  Medicare reassignment NPD
• Meridian Behavioral Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Gainesville, FL
  • NPI 1134287154

  Multi-Specialty

  Medicare reassignment NPD
• My Coping Lab Inc

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1245020080

  Multi-Specialty

  Medicare reassignment NPD
• Absolute Valor Inc

  dba Absolute Valor Behavioral Health

  • Mental Health Counselor
  • Ocala, FL
  • NPI 1760363584
  NPD Authorized official
• Project Health Inc

  dba Langley Health Services

  • Federally Qualified Health Center (FQHC)
  • Sumterville, FL
  • NPI 1437180239
  Medicare reassignment
• Meridian Behavioral Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Ocala, FL
  • NPI 1033850797
  NPD
• Meridian Behavioral Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Macclenny, FL
  • NPI 1265954358
  NPD
• Purcare LLC

  dba PurCare of Tennessee

  • Mental Health Counselor
  • Lebanon, TN
  • NPI 1942085881

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1285124776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 MAJESTIC GARDENS BLVD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338805736",
            "telephone_number": "863-677-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MELTON AVE",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338234428",
            "telephone_number": "863-967-8190",
            "fax_number": "863-967-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "KENUATED",
        "middle_name": "L",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "13722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Charlot
• Charmaine Health Care LLC
• Harish Chander Chauhan
• Deborah Jo Cheatwood, RN
• Barbara Jane Cheney
• Kenya Coates Charles
• Cobalt Counseling Inc.
• Color Me Included ABA LLC
• Color Me Included Play Cafe
• Comfort Zone Massage LLC

• Mental Health Counselor in Auburndale, FL
• Providers in Auburndale, 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 May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.