Rebecca A Clark, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

20216 Issued in TX

Practice address

1525 S Cooper St
Arlington, TX 76010-4105

Phone

(817) 804-1100

Fax

(817) 299-8790

NPI assigned

Jun 23, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: rclark12987@cookchildrens.direct-ci.com

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1295021608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99213",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761040213",
            "telephone_number": "682-885-4871",
            "fax_number": "682-885-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 S COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760104105",
            "telephone_number": "817-804-1100",
            "fax_number": "817-299-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "20216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rclark12987@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "1525 S Cooper St",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760104105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Roger Clark, M.D.
• John Darren Clark, MD
• Koryann Clark
• Latrece Clark
• Janeen Clark, PT, PT, DPT
• Carol Ann Classen, RN, PHD, LPC
• Classic Hospice LLC
• Peter-Claver Classo, R.PH
• Clavic Healthcare Services
• Nadine Lucertia Clavo, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.