Lisa J Clarke

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0717001772 Issued in VA

Practice address

2600 Brownstone Cir
Williamsburg, VA 23185-8321

Phone

(757) 696-2370

NPI assigned

Oct 22, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Energy for Life, LLC

  • Community/Behavioral Health Agency
  • Williamsburg, VA
  • NPI 1861090615
  NPD Authorized official

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1568061323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7746 LOWER GATEWAY LOOP UNIT 1624",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277213",
            "telephone_number": "757-696-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 BROWNSTONE CIR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231858321",
            "telephone_number": "757-696-2370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7746 Lower Gateway Loop Unit 1624",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277213",
            "country_code": "US",
            "telephone_number": "757-696-2370",
            "fax_number": "757-696-2370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "LISA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-6068",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Dawn Clark, FNP
• Cynthia Delaney Clark, LMFT
• Daniel Clark
• Michelle J Clark, DPT
• Theresa Clark
• Glenn Paul Clavet, LPC
• Carla Christine Clawson
• Jean Meredith Clay, DPM
• Lisa Ann Clay, L.P.T.A.
• Clayton Counseling LLC

• Marriage & Family Therapist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.