Christopher Peter Clarke, L.P.C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC004434 Issued in PA

Practice address

2045 Westgate Dr
Bethlehem, PA 18017-7480

Phone

(610) 865-8177

Fax

(610) 865-2764

NPI assigned

Jul 13, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Mental Health Counselor

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Guide to Wellness Therapy PC

  • Mental Health Counselor
  • Morrisville, PA
  • NPI 1699351098

  Professional

  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1376855742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 WYNNWOOD LN N",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180408416",
            "telephone_number": "610-704-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 WESTGATE DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177480",
            "telephone_number": "610-865-8177",
            "fax_number": "610-865-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "CHRISTOPHER",
        "middle_name": "PETER",
        "credential": "L.P.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori A. Clark, CRNA
• Melissa Anne Clark, MD/PHD
• Neil J Clark, OD
• Nicholas Richard Clark, MA, MT-BC
• Whitney J Clark, RD
• Cynthia June Clarke, PTA
• Jenna Clarke, PA-C
• Jennifer Ann Clarkson, O.T.
• Madelyn Class
• Abigail Claudio Roldan, BSW

• Professional Counselor in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.