Lawrence Clark, LCMHC, LCASA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

14680 Issued in NC

Practice address

9625 David Taylor Dr
Charlotte, NC 28262-2362

Phone

(704) 387-8591

NPI assigned

Mar 5, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allied Counseling and Wellness, PLLC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1093693871
  NPD Authorized official

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1346708658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13814 HOLGATE HILL DR",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282277507",
            "telephone_number": "704-387-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 DAVID TAYLOR DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622362",
            "telephone_number": "704-387-8591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 J N Pease Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282624516",
            "country_code": "US",
            "telephone_number": "704-387-8591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13814 Holgate Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Mint Hill",
            "state": "NC",
            "postal_code": "282277507",
            "country_code": "US",
            "telephone_number": "704-221-9957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LAWRENCE",
        "credential": "LCMHC, LCASA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-05",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "14680",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS25210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Drew Clark, D.D.S.
• John B Clark Jr., M.D.
• Kortney Wilson Clark, FNP
• Kristie Dawn Clark, PHARMD, CDE
• Laura L Clark, MS, LCAS
• Lisa R Clark, PT
• Luke Samuel Clark, PA-C
• Lyndsay Clark, PA
• Megan Montgomery Clark, MACC, LPCA
• Michael Clark, LCSWA

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.