Deborah Clark, M.A., LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

538 Issued in NH

Practice address

501 Mammoth Rd
Unit1
Londonderry, NH 03053-2309

Phone

(603) 479-7166

NPI assigned

Jan 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952457616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRISTOL CT UNIT 131",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381521",
            "telephone_number": "603-479-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MAMMOTH RD",
            "address_2": "UNIT1",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030532309",
            "telephone_number": "603-479-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DEBORAH",
        "name_prefix": "Ms.",
        "credential": "M.A., LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30424650",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reid Alec Christie, D.P.M.
• Maureen Christilles, ARNP
• Clarity Community Connections LLC
• Clarity Counseling Associates
• Cheryl Clark, MSLP/CCC
• Natalie Stendahl Clark, MA, MT-BC
• Stephanie Clark, ATC, LAT
• Clear Balance Counseling, P.L.L.C. (Mental Health Counseling)
• Clear Steps Recovery Corp
• Megan Cleary, PHARM D

• Mental Health Counselor in Londonderry, NH
• Providers in Londonderry, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.