Hayley Clark, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1099-124 Issued in WI

Practice address

2961 Yarmouth Greenway Dr Ste 2
Fitchburg, WI 53711

Phone

(608) 316-1180

NPI assigned

Sep 5, 2014

Sex

Female

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

State licenses

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.

• Wildflower Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fitchburg, WI
  • NPI 1659930519
  NPD (past)

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1831590256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 YARMOUTH GREENWAY DR STE 2",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115809",
            "telephone_number": "608-316-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 YARMOUTH GREENWAY DR STE 2",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "53711",
            "telephone_number": "608-316-1180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 E Olin Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537131467",
            "country_code": "US",
            "telephone_number": "608-316-1180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 E Olin Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537131467",
            "country_code": "US",
            "telephone_number": "608-316-1180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "HAYLEY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-05",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1099-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa J Chiang, M.S., CCC-SLP
• Nathaniel Ark Chin, M.D.
• Eunju Cho, NP
• Catherine Ruth Christopherson, PHARMD
• Mikayla Chryst
• Mackenzie Rochon Clark, APNP
• Bintou Cole, LPN
• Alexandra M Colwell, NP
• Comfort Home Health Care
• Comfort Ride Transport LLC

• Marriage & Family Therapist in Fitchburg, WI
• Providers in Fitchburg, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.