Amanda Bleu Clark, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

60713306 Issued in WA

Practice address

150 Nickerson St Ste 303
Seattle, WA 98109

Phone

(806) 681-2900

NPI assigned

Mar 25, 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

State licenses

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1891967204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 NICKERSON ST STE 303",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981091634",
            "telephone_number": "806-681-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 NICKERSON ST STE 303",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98109",
            "telephone_number": "806-681-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 S Washington St",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791022610",
            "country_code": "US",
            "telephone_number": "806-681-2900",
            "fax_number": "806-376-4202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "AMANDA",
        "middle_name": "BLEU",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62327",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60713306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kindra Dawn Clark-Snustad, DNP, ARNP, ANP-BC
• Adrienne L Clark, M.D.
• Alana Christine Clark, LMP
• Alison Clark, LMHC
• Amanda Clark
• Amy Jennings Clark, LMHCA
• Ashley Clark, PA
• Barbara Louise Clark
• Barbara Shaw Clark, M.D.
• Benjamin Clark, DPT

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.