Individual provider Active NPI

Dionna Rae Clark, TEMPORARY- LICENSED

  • Marriage & Family Therapist
  • Overland Park, KS
National Provider Identifier
1871413328
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
03770-T Issued in KS
Practice address
6420 W 95TH St Ste 100
Overland Park, KS 66212-1434
Phone
(913) 826-3250
Fax
(816) 508-3535
NPI assigned
Jul 16, 2026
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 03770-T KS Primary

Addresses

Primary practice location

6420 W 95TH St Ste 100
Overland Park, KS 66212-1434

Mailing address

8037 Highland Ave
Kansas City, MO 64131-2317
Phone (785) 477-0189

Other practice location 1

421 E 137th St
Kansas City, MO 64145-1455
Phone (816) 508-3500 ext. 5

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1784160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1871413328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8037 HIGHLAND AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641312317",
            "telephone_number": "785-477-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 W 95TH ST STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121434",
            "telephone_number": "913-826-3250",
            "fax_number": "816-508-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 E 137th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641451455",
            "country_code": "US",
            "telephone_number": "816-508-3500 x5",
            "fax_number": "816-508-3535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DIONNA",
        "middle_name": "RAE",
        "credential": "TEMPORARY- LICENSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-16",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "03770-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.