Kristie Clark, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KRISTIE CLARK, PLLC

Practice address

5090 State St Ste B102
Saginaw, MI 48603-3778

Phone

(989) 430-6553

Fax

(989) 355-0438

NPI assigned

Jun 9, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Kristie ClarkNPI 1376928366

Title

Licensed Professional Counselor

Phone

(989) 430-6553

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristie Ann Clark, LPC

  • Professional Counselor
  • Saginaw, MI
  • NPI 1376928366
  NPD Authorized official

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1558090969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12375 WHISPER RIDGE DR",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486239500",
            "telephone_number": "989-430-6553",
            "fax_number": "989-355-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5090 STATE ST STE B102",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033778",
            "telephone_number": "989-430-6553",
            "fax_number": "989-355-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIE CLARK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "989-430-6553",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Kripa, LPC
• Annalia Krish
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• Joan Marie Kronick, DO

• Community/Behavioral Health Agency in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.