Aletha Jennifer Clark, PHD, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC004805 Issued in GA

Practice address

2386 Clower St Ste D-100
Snellville, GA 30078-6134

Phone

(404) 550-0564

Fax

(678) 344-2956

NPI assigned

Feb 12, 2007

Last updated

Feb 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Mental Health Counselor

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clark Counseling & Consulting, Inc.

  • Professional Counselor
  • Snellville, GA
  • NPI 1215260666

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1912049594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300780955",
            "telephone_number": "404-550-0564",
            "fax_number": "678-344-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 CLOWER ST STE D-100",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786134",
            "telephone_number": "404-550-0564",
            "fax_number": "678-344-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ALETHA",
        "middle_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "PHD, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "1658-R",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "894502453A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary McMahan Christenbury, M.D.
• Pamela Litchfield Chubbuck, LPC, LISW
• Constance Chukwuka, RD
• CJC Health Solutions, LLC
• Clark Counseling & Consulting, Inc.
• Renee Clark
• Sandra Clark, L.C.S.W.
• Sarah Clark, RBT
• Will Clark, MS, APC, NCC
• Sonji Clarke-Allen

• Professional Counselor in Snellville, GA
• Providers in Snellville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.