Frances Leanne Clark, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C4912 Issued in OR

Practice address

1201 SE 223Rd Ave Ste 165
Gresham, OR 97030-2577

Phone

(971) 404-4668

NPI assigned

Apr 13, 2016

Last updated

Jan 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.francesclark@148835.advancedmd-direct.com

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

• Connected Space Counseling, LLC

  • Professional Counselor
  • Gresham, OR
  • NPI 1194433250
  NPD Authorized official

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1861846099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SE 223RD AVE STE 165",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302577",
            "telephone_number": "971-404-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SE 223RD AVE STE 165",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302577",
            "telephone_number": "971-404-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "FRANCES",
        "middle_name": "LEANNE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristan Chow
• May-Lynn Chu, D.O
• Emily Rayleen Clapp
• Bethaney Clark
• Carly A Clark, PSS
• Jessica Clark
• Kathryn Anne Clark, MC, LPC
• Kelly Clark, BS, CADC I
• Nicklaus Clark, LPC, LMHC
• O. Keene Clay, O.D.

• Professional Counselor in Gresham, OR
• Providers in Gresham, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.