Individual provider Active NPI

Jane Carolyn Clark-Ashford, M.A., LPC, NCC

  • Professional Counselor
  • Washington, DC
National Provider Identifier
1720144207
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PRC13892 Issued in DC
Practice address
1012 14TH St NW
Suite 807
Washington, DC 20005-3403
Phone
(202) 460-1070
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PRC13892 DC Primary

Addresses

Primary practice location

1012 14TH St NW
Suite 807
Washington, DC 20005-3403

Mailing address

10702 Dragoo PL
Clinton, MD 20735-3902
Phone (301) 868-4076

Other names 1

  • Miss Jane Carolyn Clark Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PRC13892DCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720144207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10702 DRAGOO PL",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353902",
            "telephone_number": "301-868-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 14TH ST NW",
            "address_2": "SUITE 807",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053403",
            "telephone_number": "202-460-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK-ASHFORD",
        "first_name": "JANE",
        "middle_name": "CAROLYN",
        "name_prefix": "Ms.",
        "credential": "M.A., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC13892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "CLARK",
            "middle_name": "CAROLYN",
            "prefix": "MISS",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.