Brenda Rozier-Clark

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701002536 Issued in VA

Practice address

5417C Backlick Rd
Springfield, VA 22151-3915

Phone

(703) 866-9999

NPI assigned

Aug 26, 2015

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

Other names 1

• Dr. Brenda Rozier Clark Former name

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": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1942677885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8208 GREELEY BLVD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221523043",
            "telephone_number": "703-644-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5417C BACKLICK RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513915",
            "telephone_number": "703-866-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZIER-CLARK",
        "first_name": "BRENDA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002536",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "CLARK",
            "middle_name": "ROZIER",
            "prefix": "DR.",
            "credential": "ED. D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth DO Roth, FNP-C
• Jacklyn Ann Rothenberger, MFT
• James Edward Rouse, PTA
• Suzanne Rowlson, SLP-CCC
• Haleh Royanian, LCSW
• Julie Rose Ruby, L.AC.
• Wendy S Rudolph, O.D.
• Lisa Nicole Ruffer, CPNP
• Stephanie Rufiner
• Payton Ruggery

• Professional Counselor in Springfield, VA
• Providers in Springfield, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.