Marquita Y. Clay

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4489 Issued in LA

Practice address

17330 Preston Rd
Ste. 200D
Dallas, TX 75252-5997

Phone

(469) 285-2530

Fax

(214) 602-6900

NPI assigned

Dec 3, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: marquitaclay@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Professional

  NPD

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1356772289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17330 PRESTON RD",
            "address_2": "STE. 200D",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525997",
            "telephone_number": "469-285-2530",
            "fax_number": "214-602-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17330 PRESTON RD",
            "address_2": "STE. 200D",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525997",
            "telephone_number": "469-285-2530",
            "fax_number": "214-602-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "MARQUITA",
        "middle_name": "Y.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4489",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75801",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1939846",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony T. Clavo Sr., MD
• Patricia Clawson-Johnson, DC
• Shanna Renae Clawson, PA-C
• Dolly Clay-Strong, NP-C
• Christina Clay, CRNA
• Samantha Jamelle Clay
• Brianna Acker Clayton, PA-C
• Dessirae Clayton
• Jamon William Clayton, DC
• Joshua Thomas Clayton

• Professional Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.