Organization Active NPI

Laura Clark Counseling, LLC

  • Clinical Psychologist
  • Madison, WI
National Provider Identifier
1437753076
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LAURA CLARK COUNSELING, LLC
Practice address
715 Hill St Ste 132
Madison, WI 53705-3572
Phone
(734) 649-9948
Fax
(608) 255-9219
NPI assigned
Nov 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Laura Kathleen Clark, PSY.D.
Title
Licensed Psychologist
Phone
(734) 649-9948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

715 Hill St Ste 132
Madison, WI 53705-3572

Mailing address

9415 Stoneywood Blvd
Middleton, WI 53562-4234
Phone (734) 649-9948

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1437753076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 STONEYWOOD BLVD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535624234",
            "telephone_number": "734-649-9948",
            "fax_number": "608-255-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 HILL ST STE 132",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053572",
            "telephone_number": "734-649-9948",
            "fax_number": "608-255-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA CLARK COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "734-649-9948",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.