Sheila A Clark, MA, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401015688 Issued in MI

Practice address

30200 Telegraph Rd Ste 106
Bingham Farms, MI 48025-4503

Phone

(248) 676-1700

NPI assigned

Mar 4, 2019

Sex

Female

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1497213946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 YORKSHIRE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242140",
            "telephone_number": "313-485-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD STE 106",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254503",
            "telephone_number": "248-676-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5525 Yorkshire Rd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482242140",
            "country_code": "US",
            "telephone_number": "313-485-0930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SHEILA",
        "middle_name": "A",
        "credential": "MA, LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015688",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6401015688",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Jordan Clancy
• Danielle Lambert Clarahan, MA, BCBA
• Alyssa Clark
• Kayla Clark
• Mariah Hope Clark
• Simone Nichelle Clark
• Channiece Ann Clarke
• Heather Clarkston, PHARMD.
• Taylor Elaine Clements, M.A., BCBA
• Susan Clouse, CRNA

• Mental Health Counselor in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.