Active NPI
Tailor Danielle Clark, LMFT-A, LPCA-
- Professional Counselor
- Spring Branch, TX
National Provider Identifier
1740098714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 91486
- Practice address
- 18670 Forty Six Pkwy Unit I
Spring Branch, TX 78070-6911 - Phone
- (830) 709-8010
- NPI assigned
- Dec 23, 2024
- Last updated
- Dec 23, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 91486 | TX | Primary |
Addresses
Primary practice location
18670 Forty Six Pkwy Unit I
Spring Branch, TX 78070-6911
Mailing address
1515 Cypress Pass Rd
Spring Branch, TX 78070-5504
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91486 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1740098714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 CYPRESS PASS RD",
"city": "SPRING BRANCH",
"state": "TX",
"postal_code": "780705504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18670 FORTY SIX PKWY UNIT I",
"city": "SPRING BRANCH",
"state": "TX",
"postal_code": "780706911",
"telephone_number": "830-709-8010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "TAILOR",
"middle_name": "DANIELLE",
"credential": "LMFT-A, LPCA-",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-23",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "91486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Branch, TX
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- Jairo Chavez, D.D.S
- CHD- Spring Branch PLLC
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- Clayton K Ckodre, O.D.
- Clean Country Livin LLC
- Amy Sue Cline, RPH
- Coastal ER VIII, LLC (Physicians PremiER)
- Rachael Kay Cofield
- Comal Family Chiropractic P.L.L.C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.