Clark Christian Counseling, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CLARK CHRISTIAN COUNSELING, PLLC

Practice address

320 N Judd Pkwy NE Ste 226
Fuquay Varina, NC 27526-2624

Phone

(919) 812-7535

NPI assigned

Apr 8, 2020

Last updated

Jun 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lance Clark, MA, LCMHC, BCTMH, QSNPI 1932470119

Title

Owner

Phone

(919) 812-7535

Specialties & licenses 1

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lance Clark, MA, LCMHC, BCTMH, QS

  • Professional Counselor
  • Fuquay Varina, NC
  • NPI 1932470119
  NPD Authorized official
• Alana B Bell, LCMHCA

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1710598404
  NPD (past)
• Lauren Elizabeth Caulberg, MA, LCMHCA, NCC

  • Mental Health Counselor
  • Cary, NC
  • NPI 1235844143

  Professional

  NPD (past)
• Will McRee, LCMHCA

  • Mental Health Counselor
  • Cary, NC
  • NPI 1134809064
  NPD (past)
• Nicole Brooke Mooney, LCMHCA, NCC

  • Mental Health Counselor
  • Cary, NC
  • NPI 1831868637
  NPD (past)

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1346869534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N JUDD PKWY NE STE 226",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262624",
            "telephone_number": "919-812-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N JUDD PKWY NE STE 226",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262624",
            "telephone_number": "919-812-7535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "543 Keisler Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275189321",
            "country_code": "US",
            "telephone_number": "919-812-7535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "547 Keisler Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275189309",
            "country_code": "US",
            "telephone_number": "919-812-7535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLARK CHRISTIAN COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-812-7535",
        "authorized_official_credential": "MA, LCMHC, BCTMH, QS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Michelle Chittick Simmons
• Sunny Song Chung, DDS
• Darren A Ciccolini, PA-C
• Breah Claar, CCC-SLP
• Jacob Joel Clairmont, PA
• Lance Clark, MA, LCMHC, BCTMH, QS
• Skylor Maxx Clark, LCSWA
• Rebecca Clarke, M.S., CCC-SLP
• Clearly Kommon LLC
• Michele Elane Clephane, L.M.B.T.

• Professional Counselor in Fuquay Varina, NC
• Providers in Fuquay Varina, 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 Jun 9, 2022; 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.