Claire Allison Clerkley

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1909 Carew St
Fort Wayne, IN 46805-4707

Phone

(260) 481-2800

Fax

(260) 481-2838

NPI assigned

Feb 10, 2020

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1609408475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053458",
            "telephone_number": "260-482-9125",
            "fax_number": "260-481-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 CAREW ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054707",
            "telephone_number": "260-481-2800",
            "fax_number": "260-481-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLERKLEY",
        "first_name": "CLAIRE",
        "middle_name": "ALLISON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Clemens, P.A.
• Michaela Clemens
• Zachary M Clemens, PAC
• Shellene Clements, COTA
• Melissa Marie Clemmer, MS
• Debra Clevenger, MA
• Holly J Clevenger, RN
• Sharon Freeman Clevenger, MA, MSN, PMHCNS-BC
• Dana Dianne Clevering, MS, LMHC, EMDR
• Cara Click

• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.