Kelly Clarke

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

203074 Issued in TX

Practice address

9901 W Ih 10 Ste 775
San Antonio, TX 78230-1781

Phone

(210) 957-1668

NPI assigned

Mar 17, 2020

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

Enrolled in TX

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.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Abc Counseling IncGroup PAC ID 2062852866, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Abc Counseling Inc

  • Marriage & Family Therapist
  • San Antonio, TX
  • NPI 1710670674
  Medicare reassignment Care Compare group NPD
• Spring Oaks Counseling, LLC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1376145250

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1891321287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 WHISPER BREEZE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303524",
            "telephone_number": "210-268-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 W IH 10 STE 775",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301781",
            "telephone_number": "210-957-1668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Medical Dr Ste 330",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782295805",
            "country_code": "US",
            "telephone_number": "210-614-4990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15303 Huebner Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782480982",
            "country_code": "US",
            "telephone_number": "210-384-2931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203074",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "203074",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantel R Clarke
• Darrell Clarke, LPC
• Erica Clarke, RN
• Ewell Clarke, MD
• Joseph Allen Clarke, PA
• Margaret A Clarke, APRN
• Mary Christine Clarke, FNP
• Patricia Ann Clarke, CPNP
• Tanya Elvira Clarke
• Zachary Heyward Clarke, MD

• Marriage & Family Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.