Active NPI
Marsha J Clark, M.A., L.L.C.P.
- Counselor
- Lansing, MI
National Provider Identifier
1306171152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401011466
- Practice address
- 7804 Francis CT
220
Lansing, MI 48917-7769 - Phone
- (517) 242-7190
- NPI assigned
- Oct 13, 2009
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401011466 | MI | Primary |
Addresses
Primary practice location
7804 Francis CT
220
Lansing, MI 48917-7769
Mailing address
PO Box 616
Dewitt, MI 48820-0616
Phone (517) 242-7190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401011466 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255392000000",
"number": "1306171152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 616",
"city": "DEWITT",
"state": "MI",
"postal_code": "488200616",
"telephone_number": "517-242-7190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7804 FRANCIS CT",
"address_2": "220",
"city": "LANSING",
"state": "MI",
"postal_code": "489177769",
"telephone_number": "517-242-7190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "MARSHA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "M.A., L.L.C.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-13",
"last_updated": "2009-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401011466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.