Active NPI
Claire Rose Clarkin, LMHC
- Mental Health Counselor
- Boca Raton, FL
National Provider Identifier
1679293229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH21242
- Practice address
- 101 Plaza Real S Ste 228
Boca Raton, FL 33432-4865 - Phone
- (201) 669-0398
- NPI assigned
- Sep 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH21242 | FL | Primary |
Addresses
Primary practice location
101 Plaza Real S Ste 228
Boca Raton, FL 33432-4865
Mailing address
405 NE 2ND St Apt 2310
Fort Lauderdale, FL 33301-2869
Phone (201) 669-0398
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260317004864 | FL | Practitioner - Mental Health Counselor | 5799269858 | Practice locations: Fort Lauderdale, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Boston University School of Medicine, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2419 E Commercial Blvd
Suite 203
Fort Lauderdale, FL 33308-4042
Phone (754) 271-8814
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH21242 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1679293229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 NE 2ND ST APT 2310",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333012869",
"telephone_number": "201-669-0398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PLAZA REAL S STE 228",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334324865",
"telephone_number": "201-669-0398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKIN",
"first_name": "CLAIRE",
"middle_name": "ROSE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-01",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH21242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.