Suzette Lequita Clark, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

62376 Issued in TX

Practice address

6800 Weiskopf Ave Ste 150
McKinney, TX 75070-5340

Phone

(214) 592-5589

NPI assigned

Nov 5, 2008

Last updated

Mar 18, 2020By 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

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.

• Lutheran Social Services of the South, Inc.

  dba Nelson Children's Treatment Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Denton, TX
  • NPI 1528193018
  NPD (past)

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1285888289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 WEISKOPF AVE STE 150",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705340",
            "telephone_number": "214-592-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 WEISKOPF AVE STE 150",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705340",
            "telephone_number": "214-592-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SUZETTE",
        "middle_name": "LEQUITA",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin Wesley Clark, LPC
• Kristi H Clark, M.S., CCC-A
• Paul Derald Clark, D.D.S., M.S.D.
• Priscilla Danielle Clark, M.D.
• Rebecca Windle Clark, DPT, PT
• Thomas Clark III
• Carlene Clason, RBT
• Claudia J McDonald MD PA
• Morganne Mackenzie Clay, CCC-SLP
• Annalise Clayborne, PNP

• Professional Counselor in McKinney, TX
• Providers in McKinney, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.