Amanda Clark, LAC, NCC, BHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-20338 Issued in AZ

Practice address

6125 E Indian School Rd Ste 1005
Scottsdale, AZ 85251-5469

Phone

(623) 570-8661

NPI assigned

Sep 26, 2022

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

Other names 1

• Amanda Klemenz Former name

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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1568185353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9895 E ASTER DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852604635",
            "telephone_number": "480-227-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 E INDIAN SCHOOL RD STE 1005",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515469",
            "telephone_number": "623-570-8661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20330 N Cave Creek Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850241280",
            "country_code": "US",
            "telephone_number": "602-786-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "LAC, NCC, BHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-20338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "KLEMENZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clarity Promises Unlimited LLC
• Clarity Springs Healthcare PLLC
• Katharine Clarizio, DO
• Clark H. Hansen, N.M.D., LTD (Hansen Clinic)
• Clark Steere Productions LLC (The Clark Clinic for Adult Healthcare & Wellness)
• Andrew Clark, DPT
• Brenda M Clark, FNP
• Crissa Marie Clark, PHARM.D.
• Jacquelyn Marie Clark
• James P Clark, M.D.

• Mental Health Counselor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.