Active NPI
Danielle Sheniece Clark, LPCC-S
- Mental Health Counselor
- Fairlawn, OH
National Provider Identifier
1447635651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.1200556
- Practice address
- 3090 W Market St # 124-6
Fairlawn, OH 44333-3608 - Phone
- (330) 338-6677
- NPI assigned
- Jul 29, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 90893 | TX | |
| Mental Health Counselor | 101YM0800X | C.1200556 | OH | Primary |
Addresses
Primary practice location
3090 W Market St # 124-6
Fairlawn, OH 44333-3608
Mailing address
1913 Auten Dr
Akron, OH 44320-1103
Phone (330) 338-6677
Other practice location 1
1913 Auten Dr
Akron, OH 44320-1103
Phone (330) 338-6677
Other names 1
- Danielle S Rice
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 |
|---|---|---|---|
| C.1200556 | OH | MD | Mental Health Counselor |
| 90893 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wise Bridge Counseling, LLC | Mental Health | Current | Accepting new patients |
Locations
3090 W Market St
Ste 1246
Fairlawn, OH 44333
Phone (216) 409-2418
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1447635651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1913 AUTEN DR",
"city": "AKRON",
"state": "OH",
"postal_code": "443201103",
"telephone_number": "330-338-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3090 W MARKET ST # 124-6",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333608",
"telephone_number": "330-338-6677"
}
],
"practiceLocations": [
{
"address_1": "1913 Auten Dr",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443201103",
"country_code": "US",
"telephone_number": "330-338-6677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "DANIELLE",
"middle_name": "SHENIECE",
"name_prefix": "Mrs.",
"credential": "LPCC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-29",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "90893",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.1200556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "RICE",
"middle_name": "S",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.