Saraya Clark, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-8198 Issued in ID

Practice address

16150 N High Desert St Ste 213
Nampa, ID 83687-5742

Phone

(208) 724-9155

NPI assigned

Mar 11, 2022

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 25, 2024 through Apr 25, 2028

Medicare enrollment (NPD)

Not enrolled

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.

• Clark Counseling and Wellness

  • Mental Health Counselor
  • Nampa, ID
  • NPI 1578416475
  NPD Authorized official

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1881342533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16150 N HIGH DESERT ST STE 213",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875742",
            "telephone_number": "208-724-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 N HIGH DESERT ST STE 213",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875742",
            "telephone_number": "208-724-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SARAYA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-8198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Clapperton, FNP
• Ann Clappier, PHARMD
• Clark Counseling and Wellness
• Charles Clark III, MD
• Kate Clark, FNP
• Suzanne Marie Clark, RDN, LD, CDCES
• Pamela Joan Clausen
• Renee Clausen, LMT
• Paul J Clawson, DDS
• Jonna Clayton

• Mental Health Counselor in Nampa, ID
• Providers in Nampa, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.