Brittney Nichole Clark, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH21080 Issued in FL

Practice address

9013 University Pkwy Ste C
Pensacola, FL 32514-9421

Phone

(850) 478-7800

NPI assigned

Aug 8, 2022

Last updated

Aug 8, 2022By 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

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.

• Stone Ridge Counseling Center Inc

  • Mental Health Counselor
  • Pensacola, FL
  • NPI 1710134721
  NPD

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1285361337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8535 CHISHOLM RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325143211",
            "telephone_number": "850-698-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9013 UNIVERSITY PKWY STE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325149421",
            "telephone_number": "850-478-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BRITTNEY",
        "middle_name": "NICHOLE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Circulogene Theranostics, Inc. (Circulogene)
• Francesca Nicole Cirillo, M.D.
• Allison Clark, CCC-SLP
• Audriana Clark
• Bishod Q Clark
• Jessica Lynn Clark
• John Henry Clark, CRNA
• Leigh Dell Clark, LMHC
• Melea Hopelyn Clark, PHARMD, RPH
• Michael Eugene Clark, CRNA

• Mental Health Counselor in Pensacola, FL
• Providers in Pensacola, 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 Aug 8, 2022; 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.