Clark Finkelstein, MA, LPC, R-DMT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.020313 Issued in IL

Practice address

120 Main St Ste 200
Park Ridge, IL 60068-4044

Phone

(847) 668-4869

NPI assigned

Jul 25, 2024

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Center for Authentic Living, Inc.

  • Professional Counselor
  • Park Ridge, IL
  • NPI 1972142198
  NPD
• Center for Authentic Living

  • Mental Health Counselor
  • Park Ridge, IL
  • NPI 1417318700
  NPD (past)

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1942038484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 GREEN BAY RD APT B",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012240",
            "telephone_number": "312-451-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAIN ST STE 200",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684044",
            "telephone_number": "847-668-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINKELSTEIN",
        "first_name": "CLARK",
        "credential": "MA, LPC, R-DMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.020313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Filantres, LCSW
• Matthew J Filippo, DO
• Fine Line Physio PC
• Barbara Fine
• Steven Jay Fineberg, M.D.
• Andrea Kristina Finnegan, MSW, LCSW
• Laura Finnelly, RN
• John V Fischer, DPM PC
• Jordan Elizabeth Fischer, NP
• Michael Alan Fisher, MD

• Mental Health Counselor in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.