Individual provider Active NPI

Claudia Clarke, CSAC

  • Counselor
  • South Prince George, VA
National Provider Identifier
1356867089
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0710102458 Issued in VA
Practice address
10543 S Crater Rd
South Prince George, VA 23805-7333
Phone
(804) 431-5585
Fax
(804) 431-5820
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0710102458 VA Primary

Addresses

Primary practice location

10543 S Crater Rd
South Prince George, VA 23805-7333

Mailing address

10543 S Crater Rd
South Prince George, VA 23805-7333
Phone (804) 431-5585

Other identifiers 1

IdentifierTypeStateIssuer
30017694450001MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250530000798 VA Practitioner - Mental Health Counselor 5193234375 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0710102458VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Starting Point of Virginia, P.C. CurrentSince Mar 22, 2025 Accepting new patients
Lavni, Inc CurrentSince Jan 6, 2026 Accepting new patients
Starting Point of Virginia, P.C. CurrentSince Mar 22, 2025 Accepting new patients
Crossroads Treatment Center of Petersburg, PC CurrentSince Jul 24, 2022 Accepting new patients

Locations

227 E Belt Blvd
Ste C
Richmond, VA 23224

8401 Mayland Dr
Ste A
Richmond, VA 23294
Phone (703) 859-2848

10531 S Crater Rd
South Prince George, VA 23805
Phone (804) 431-5820

10543 S Crater Rd
South Prince George, VA 23805
Phone (804) 431-5585

500 Pegasus Ct
Ste 508
Winchester, VA 22602
Phone (540) 974-5445

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1356867089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10543 S CRATER RD",
            "city": "SOUTH PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238057333",
            "telephone_number": "804-431-5585",
            "fax_number": "804-431-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10543 S CRATER RD",
            "city": "SOUTH PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238057333",
            "telephone_number": "804-431-5585",
            "fax_number": "804-431-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "CLAUDIA",
        "credential": "CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0710102458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017694450001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Prince George, VA

Sources for this page

Verify at the official NPI Registry.