Clark Psychological & Consultation PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

22932 Issued in TX

Legal business name

CLARK PSYCHOLOGICAL & CONSULTATION PC

Practice address

501 Mantooth Ave
Lufkin, TX 75904-3014

Phone

(936) 639-4993

Fax

(936) 639-6838

NPI assigned

Sep 1, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alan Clark, M.ED.

Title

Business Manager

Phone

(936) 639-4993

Specialties & licenses 1

Addresses

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karisa Corley Burke, M.ED., M.A., LPC

  • Mental Health Counselor
  • Crockett, TX
  • NPI 1053305151
  NPD (past)
• Rosa Lee Davis, M.ED., LPC

  • Professional Counselor
  • Crockett, TX
  • NPI 1770577876
  NPD (past)
• Tonya Kaye Hilton, M.A., LPC

  • Professional Counselor
  • Lufkin, TX
  • NPI 1649264854
  NPD (past)
• Robert Wayne King, D.MIN LPC LCDC RSOTP

  • Mental Health Counselor
  • Jasper, TX
  • NPI 1962496067
  NPD (past)
• Sharon S McClure, LPC

  • Mental Health Counselor
  • Lufkin, TX
  • NPI 1215150248
  NPD (past)
• Susan E McCulley, M.ED., LPC

  • Professional Counselor
  • Jasper, TX
  • NPI 1003800210
  NPD (past)
• Mary Ruth Roberts, M.A., LPC

  • Professional Counselor
  • Lufkin, TX
  • NPI 1205820115
  NPD (past)
• Rebecca L Thorne, LPC

  • Professional Counselor
  • Lufkin, TX
  • NPI 1861839037
  NPD (past)
• Deane M Kelley, PH.D.

  • Clinical Psychologist
  • New Orleans, LA
  • NPI 1720117187
  NPD (past)

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841284155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MANTOOTH AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043014",
            "telephone_number": "936-639-4993",
            "fax_number": "936-639-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MANTOOTH AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043014",
            "telephone_number": "936-639-4993",
            "fax_number": "936-639-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK PSYCHOLOGICAL & CONSULTATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "936-639-4993",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "22932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Choices Adolescent Center (Burke Center)
• Julie Christensen, R.D.
• Jenni Chumley, LMSW
• Delbert Chunn
• City of Lufkin
• Frankie Jo Clark, M.ED., PH.D.
• Sapphira Jo Clark, NP
• Tara Clark, MS, CF-SLP
• Whitney Clark, AGPCNP-BC
• Clifton H. Cathcart, D.O., P.a. (Cathcart Medical Clinic)

• Psychologist in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.