Robert L Clemons II, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC004041 Issued in GA

Practice address

101 Devant St Ste 702
Fayetteville, GA 30214-2717

Phone

(678) 522-7447

NPI assigned

Dec 13, 2022

Last updated

Dec 13, 2022By 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 1

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.

• New Heights Behavioral Consultants, LLC

  • Community/Behavioral Health Agency
  • Fayetteville, GA
  • NPI 1114166519
  NPD Authorized official
• Robert L Clemons II

  dba New Heights Behavioral Consultants, Inc.

  • Professional Counselor
  • Fayetteville, GA
  • NPI 1205992146
  NPD Authorized official

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1548971260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ANNELISE PARK DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144249",
            "telephone_number": "678-522-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DEVANT ST STE 702",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142717",
            "telephone_number": "678-522-7447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Parkwood Way",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "GA",
            "postal_code": "302361326",
            "country_code": "US",
            "telephone_number": "770-460-0970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_suffix": "II",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506883590",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenise Trannell Clark, LPC
• Telisha Niketia Clark
• Torey B Clark, M.D.
• Shannon Claxton
• Jonathan Clayton, MD
• Iris Branch Cleveland, LCSW
• Lisa Clevleland, RN
• Shrenna L Clifton, D.D.S
• Amber Cloud, RBT
• Kaitlyn Cobb, PTA

• Professional Counselor in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.