Individual provider Active NPI

Nettie Rose Clarke, MS., CRC., LPC.

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1982044301
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10171 Issued in NC
Practice address
2102 N Elm St Ste D2
Greensboro, NC 27408-5100
Phone
(336) 383-9932
Fax
(336) 285-7868
NPI assigned
Jun 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10171 NC Primary

Addresses

Primary practice location

2102 N Elm St Ste D2
Greensboro, NC 27408-5100

Mailing address

2102 N Elm St Ste D2
Greensboro, NC 27408-5100
Phone (336) 383-9932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
10171NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peculiar Counseling & Consulting, PLLC PastSince Feb 13, 2016 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1372464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1982044301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 N ELM ST STE D2",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274085100",
            "telephone_number": "336-383-9932",
            "fax_number": "336-285-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 N ELM ST STE D2",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274085100",
            "telephone_number": "336-383-9932",
            "fax_number": "336-285-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "NETTIE",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "MS., CRC., LPC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-29",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.