Ladonna M Clark, MA, LCAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1216 Issued in NC

Practice address

2949 New Bern Ave
Suite 109
Raleigh, NC 27610-1248

Phone

(919) 212-8156

Fax

(919) 212-8158

NPI assigned

Jan 9, 2008

Sex

Female

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

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• True Horizons Inc

  • Addiction (Substance Use Disorder) Counselor
  • Raleigh, NC
  • NPI 1093375354
  NPD Authorized official
• True Outreach

  • Addiction (Substance Use Disorder) Counselor
  • Wake Forest, NC
  • NPI 1720648082
  NPD Authorized official
• True Outreach Program Services

  • Addiction (Substance Use Disorder) Counselor
  • Raleigh, NC
  • NPI 1184457475
  NPD Authorized official

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1851576789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 NEW BERN AVE",
            "address_2": "SUITE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101248",
            "telephone_number": "919-212-8156",
            "fax_number": "919-212-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 NEW BERN AVE",
            "address_2": "SUITE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101248",
            "telephone_number": "919-212-8156",
            "fax_number": "919-212-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LADONNA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MA, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-19-92952",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Page Clark, COTA/L
• Jon Clark
• Juliana Jackson Clark, M.D.
• Karolina Ostapkiewicz Clark, C.P.O.
• Kendall Leigh Clark, PA-C
• Lauren Clark, OTR/L
• Martin Vincent Clark Jr., DDS
• Mary Clark, DACM
• Nakima Kinte Clark
• Porter Grace Clark, PA-C

• Addiction (Substance Use Disorder) Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.