Shanika Clark

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PLC10022 Issued in LA

Practice address

2620 Centenary Blvd Ste 312
Shreveport, LA 71104-3358

Phone

(318) 681-9935

NPI assigned

Jan 20, 2016

Last updated

Aug 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Volunteers of America of North Louisiana

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1417252230
  NPD (past)

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1447617550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SPRING ST STE 215",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013757",
            "telephone_number": "318-227-8390",
            "fax_number": "318-428-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 CENTENARY BLVD STE 312",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043358",
            "telephone_number": "318-681-9935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Youree Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711043600",
            "country_code": "US",
            "telephone_number": "318-675-0804",
            "fax_number": "318-425-9030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "856 Texas Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711013400",
            "country_code": "US",
            "telephone_number": "318-429-6977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3003 Knight St Ste 115",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711052561",
            "country_code": "US",
            "telephone_number": "318-227-8390",
            "fax_number": "318-429-2414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SHANIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "PLC10022",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marche' Clark
• Paul M. Clark Jr., DDS
• Phillip Clark
• Porsha Lynniece Clark
• Shamika Clark
• Stephen W. Clark, CRNA
• Stuart G. Clark V, MD
• Teresa Octavia Clark, QP
• Shemekia Clarkson
• Claude Lockhart MD and Willis-Knighton Medical Center

• Mental Health Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.