James W Clark Jr., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

510 Issued in AL

Practice address

7734 Madison Blvd
Suite 101
Huntsville, AL 35806-2848

Phone

(256) 239-5510

Fax

(256) 489-2804

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bill Clark Professional name

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 and National Provider Directory roles.

• North Alabama Christian Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huntsville, AL
  • NPI 1780352856
  NPD Authorized official
• Valleydale Christian Counseling

  • Community/Behavioral Health Agency
  • Hoover, AL
  • NPI 1720669344
  NPD Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1487722047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 VALLEYDALE RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442078",
            "telephone_number": "256-239-5510",
            "fax_number": "256-489-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7734 MADISON BLVD",
            "address_2": "SUITE 101",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358062848",
            "telephone_number": "256-239-5510",
            "fax_number": "256-489-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILL",
            "last_name": "CLARK",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alyssa Clare
• Ariel Clark
• Brian T Clark, D.C.
• Deborah Neir Clark, RPH
• Doris Elizabeth Clark, CRNP
• Jessica Autumn Clark
• John A.H. Clark, M.D.
• Joseph W Clark, MD
• Kendall Jayne Jordan Clark, MS, CCC-SLP
• Misty Roberts Clark

• Professional Counselor in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.