Joan Gary Clark, M.A., LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LH.60133754 Issued in WA

Practice address

100 SE Whitener Rd
Shelton, WA 98584-7747

Phone

(802) 598-5522

NPI assigned

May 17, 2010

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

Other names 1

• Ms. Giita Clark Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1336468263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 FERN ST SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021029",
            "telephone_number": "802-598-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SE WHITENER RD",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985847747",
            "telephone_number": "802-598-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JOAN",
        "middle_name": "GARY",
        "name_prefix": "Ms.",
        "credential": "M.A., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH.60133754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIITA",
            "last_name": "CLARK",
            "prefix": "MS.",
            "credential": "M.A., LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Heidi Gail Chambers, M.A.
• Robbie Chandler
• Anne-Marie Chapman, MS, CCC-SLP
• Brittany Chiasson
• Carolyn Ann Choma, MA
• Shera Jean Clark
• John Clayton, D.O.
• Milonna Close, LMHC
• Sefina Marie Coffee
• Annella Mae Coffman, ARNP

• Professional Counselor in Shelton, WA
• Providers in Shelton, WA by specialty
• Professional Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.