Nikki Sue Lewis-Clark, M.ED, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

939 Issued in MT

Practice address

1915 12TH Ave S
Great Falls, MT 59405-4804

Phone

(406) 231-2292

NPI assigned

Jan 30, 2007

Last updated

Feb 8, 2012By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1477690659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 12TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054804",
            "telephone_number": "406-231-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 12TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054804",
            "telephone_number": "406-231-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-CLARK",
        "first_name": "NIKKI",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "M.ED, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0137319",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tony J Lenz, MD
• Jamie L Leonard, PHARMD
• Elizabeth Anne Leraas, RPH
• Tim Levandowski, RPH
• Levi C Maltby DMD P.C.
• Adriann Ashley Lewis, APRN-CNM
• Desiree Cherise Lewis
• John Lewis, PT
• Roxie A. Lewis, LMT
• Amber Licht

• Professional Counselor in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.