Deborah Jane Clay, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P0104016 Issued in AR

Practice address

901 S Rainbow Rd
Rogers, AR 72758-1637

Phone

(479) 254-1144

Fax

(479) 254-1099

NPI assigned

Jun 15, 2006

Last updated

Apr 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1457395857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S RAINBOW RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581637",
            "telephone_number": "479-254-1144",
            "fax_number": "479-254-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S RAINBOW RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581637",
            "telephone_number": "479-254-1144",
            "fax_number": "479-254-1099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Highway 62 W",
            "address_purpose": "LOCATION",
            "city": "Berryville",
            "state": "AR",
            "postal_code": "726168872",
            "country_code": "US",
            "telephone_number": "479-750-2020 x690",
            "fax_number": "870-423-3199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAY",
        "first_name": "DEBORAH",
        "middle_name": "JANE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0104016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "5X675",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberta Anne Clark, APN
• Ryan Clark, PT, DPT
• Stephanie M Clark
• Teresa Clark, MD
• Joyce Clarkson, MA CCC-SLP
• Clearmind Pain Institute LLC
• Rhonda Cleavenger
• Christy Clement, LMSW
• Doris Clement, PT
• Jennifer Clevenger, LPC

• Professional Counselor in Rogers, AR
• Providers in Rogers, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.