Active NPI
Laura Clark Counseling, LLC
- Clinical Psychologist
- Madison, WI
National Provider Identifier
1437753076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Madison, WI
- NPI 1235212697
-
- Clinical Psychologist
- Madison, WI
- NPI 1710405311
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.