Ethan Clark

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3724 Lakeside Dr Ste 200
Reno, NV 89509-5293

Phone

(775) 895-0712

NPI assigned

May 26, 2026

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Theory and Method Therapy Collective

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1790386233
  NPD (past)

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1821929324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 WATT ST APT C",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895092869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 LAKESIDE DR STE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095293",
            "telephone_number": "775-895-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ETHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherie Danielle Clark
• Ellen G I Clark, MD
• Emory Clark, LMSW
• Erica Clark
• Erika Clark
• H. Donald Clark, M.D.
• Holly Clark
• Jeannine Clark, APN
• Karen A Clark, MD
• Jennifer Clark, M.S.

• All providers in Reno, NV
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.