Kelli Clark, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC010279 Issued in PA

Practice address

3100 Pioneer Ave
Pittsburgh, PA 15226-1741

Phone

(412) 849-7260

NPI assigned

Mar 9, 2018

Last updated

Mar 17, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1518460294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 FRANKLIN DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411911",
            "telephone_number": "412-849-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 PIONEER AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152261741",
            "telephone_number": "412-849-7260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Taylor Dr",
            "address_purpose": "LOCATION",
            "city": "Canonsburg",
            "state": "PA",
            "postal_code": "153173843",
            "country_code": "US",
            "telephone_number": "412-849-7260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KELLI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Clark
• Hal C Clark, PHARMD
• James Paul Clark, DC
• Julie Ann Clark, CRNP
• Kal Clark, MD
• Leigh Ann Clark, CRNA
• Leslie Alaine Clark
• Lindsey Clark, MS, CCC-SLP/L
• Lyle Anthony Clark, B.S.
• Maria Clark

• Professional Counselor in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.