Scott Thomas Clark, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC20665 Issued in CA

Practice address

900 Northcrest Dr # 251
Crescent City, CA 95531-2315

Phone

(505) 537-5350

NPI assigned

Sep 26, 2017

Last updated

Jan 9, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Liberateabq, LLC

  dba LiberateABQ

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Albuquerque, NM
  • NPI 1659026433

  Professional

  NPD Authorized official
• Solid Society of New Mexico Corp

  dba Solid Society

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Albuquerque, NM
  • NPI 1265007496
  NPD Authorized official

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1487163002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NORTHCREST DR # 251",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955312315",
            "telephone_number": "505-537-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NORTHCREST DR # 251",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955312315",
            "telephone_number": "505-537-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SCOTT",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-26",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC20665",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0217051",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04123751",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Chanez, D.D.S.
• Jennifer Chen, PHARM D
• Elizabeth Chernow, PH.D.
• Dana Chretien, PA
• Jame3S J Cipolla, RPH
• Caryn Jean Cleland, SCHOOL COUNSELOR
• Perma Clendenin
• Coastal Cab Company LLC
• Coastal Hospice Inc
• Mariah Elizabeth Coats

• Professional Counselor in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.