Active NPI
Arnold Ray Clark Jr.
- Counselor
- Washington, DC
National Provider Identifier
1326437005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1233 Valley Ave SE
Washington, DC 20032-4354 - Phone
- (301) 535-7621
- NPI assigned
- Jan 18, 2015
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
1233 Valley Ave SE
Washington, DC 20032-4354
Mailing address
422 Abel Ave
Capitol Heights, MD 20743-2845
Phone (301) 535-7621
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421539200000",
"number": "1326437005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 ABEL AVE",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "207432845",
"telephone_number": "301-535-7621",
"fax_number": "202-379-3480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 VALLEY AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200324354",
"telephone_number": "301-535-7621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "ARNOLD",
"middle_name": "RAY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-18",
"last_updated": "2015-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.