Marjorie W Clark

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

526 S Main St # 107
Akron, OH 44311-4401

Phone

(330) 368-2400

NPI assigned

Feb 26, 2021

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

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1992399166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 S MAIN ST # 107",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443114401",
            "telephone_number": "330-368-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 S MAIN ST # 107",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443114401",
            "telephone_number": "330-368-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MARJORIE",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR IN TRAINING",
            "identifier": "1740837160",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John M Clark, M.D.
• Kaluff Clark
• Kerri Lyn Clark, MSN, CPNP-AC, CCRN
• Lashae Clark
• Lisa Clark
• Natorria Clark
• Paris Lamoyne Clark
• Patrice L Clark
• Perry J Clark, PH.D.
• Tenelle Clark

• Mental Health Counselor in Akron, OH
• Providers in Akron, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.