Ralph O Clark, LMFT, LPCA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1551 Issued in NC

Practice address

2525 Raeford Rd
Suite B
Fayetteville, NC 28305-5091

Phone

(757) 814-8922

NPI assigned

Mar 2, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1362182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1750622627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 MAIDSTONE LN",
            "address_2": "APT A",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283482760",
            "telephone_number": "757-814-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 RAEFORD RD",
            "address_2": "SUITE B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055091",
            "telephone_number": "757-814-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "RALPH",
        "middle_name": "O",
        "credential": "LMFT, LPCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-02",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1551",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A10090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Thomas Clark, PT, DPT
• Kelsey Bernice Clark, FNP-C
• Kelvin D Clark, MS, LMFT, LPC, LCAS
• Lamar Wayne Clark, CRNA
• Louis Phillip Clark Jr., M.D.
• Taylor Clark
• Taylor Ashton Clark, DPT
• Valencia Clarkson
• James Anthony Classen, MD
• Chaqulla Clayton

• Marriage & Family Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.