Active NPI
Donna Melynda Hutt-Clarke
- Mental Health Counselor
- Upper Marlboro, MD
National Provider Identifier
1427460559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC-8800
- Practice address
- 14418 Old Mill Rd Ste 201
Upper Marlboro, MD 20772-3094 - Phone
- (240) 326-7961
- Fax
- (301) 292-0275
- NPI assigned
- May 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC-8800 | MD | Primary |
Addresses
Primary practice location
14418 Old Mill Rd Ste 201
Upper Marlboro, MD 20772-3094
Mailing address
15705 Easingwold LN
Upper Marlboro, MD 20774-8021
Phone (301) 437-0365
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0597617959-8 | Other | MD | HEALTHCARE PROVIDERS INSURANCE (HPSO) |
Other names 1
- Mrs. Melynda Clarke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC-8800 | MD | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresh Oil Counseling Services LLC | Mental Health | Current | Accepting new patients |
| Safe Harbor Christian Counseling of Southern Maryland, LLC | Professional | Past | Accepting new patients |
Locations
14418 Old Mill Rd
Ste 201
Upper Marlboro, MD 20772
Phone (240) 326-7961
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Upper Marlboro, MD
- NPI 1235819277
-
- Professional Counselor
- Clinton, MD
- NPI 1467663179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1427460559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15705 EASINGWOLD LN",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207748021",
"telephone_number": "301-437-0365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14418 OLD MILL RD STE 201",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207723094",
"telephone_number": "240-326-7961",
"fax_number": "301-292-0275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTT-CLARKE",
"first_name": "DONNA",
"middle_name": "MELYNDA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-23",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LC-8800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE PROVIDERS INSURANCE (HPSO)",
"identifier": "0597617959-8",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELYNDA",
"last_name": "CLARKE",
"prefix": "MRS.",
"credential": "NCC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.