Terrance Jerome Clarke, MT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3131 Meetinghouse Rd
M-2
Upper Chichester, PA 19061-2947

Phone

(302) 438-8162

NPI assigned

May 26, 2009

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1447485024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 MEETINGHOUSE RD",
            "address_2": "M-2",
            "city": "UPPER CHICHESTER",
            "state": "PA",
            "postal_code": "190612947",
            "telephone_number": "302-438-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 MEETINGHOUSE RD",
            "address_2": "M-2",
            "city": "UPPER CHICHESTER",
            "state": "PA",
            "postal_code": "190612947",
            "telephone_number": "302-438-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "TERRANCE",
        "middle_name": "JEROME",
        "name_prefix": "Mr.",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Racheal Bundor, CEO
• Matthew Burrichter, PHARMD
• Katie Cao
• Alisa Cheriachangel, OD
• James Colbert Clark III, ATC
• Felicia Clausen, LPN
• Reginald Combs Harris, MSW, LCSW
• Communities of Don Guanella and Divine Providence
• Alexis Conte
• Corelife Valley, LLC

• Mental Health Counselor in Upper Chichester, PA
• Providers in Upper Chichester, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.