MADISYN SYNCLAIRE CLARK
NPI 1023746955
Counselor in Los Angeles, CA

Active since August 09, 2022
5811 S SAN PEDRO ST, LOS ANGELES, CA 90011(323) 234-4445(323) 234-4477 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 15, 2022, Aug 9, 2022 (2 updates tracked since 2022).

  • Individual
  • Female
  • Counselor

About MADISYN CLARK

This page provides the complete NPI Profile along with additional information for Madisyn Clark, a provider established in Los Angeles, California with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1023746955 assigned on August 2022. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1023746955 Verify this NPI
Provider Name
MADISYN SYNCLAIRE CLARK
Gender
Female
Entity Type
Individual
Location Address
5811 S SAN PEDRO ST LOS ANGELES, CA 90011
Location Phone
(323) 234-4445
Location Fax
(323) 234-4477
Mailing Address
5811 S SAN PEDRO ST LOS ANGELES, CA 90011
Mailing Phone
(323) 234-4445
Mailing Fax
(323) 234-4477
Is Sole Proprietor?
Yes
Enumeration Date
08-09-2022
Last Update Date
08-15-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinic/Center
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Case Manager/Care Coordinator
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Student in an Organized Health Care Education/Training Program
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Student in an Organized Health Care Education/Training Program
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Student in an Organized Health Care Education/Training Program
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Rehabilitation Practitioner
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Community Health Worker
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Community Health Worker
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Rehabilitation Practitioner
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Community Health Worker
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Rehabilitation Practitioner
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Social Worker (Clinical)
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Marriage & Family Therapist
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Marriage & Family Therapist
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Student in an Organized Health Care Education/Training Program
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Social Worker (Clinical)
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Social Worker (Clinical)
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Social Worker (Clinical)
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Rehabilitation Practitioner
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011
Rehabilitation Practitioner
5811 S SAN PEDRO ST
LOS ANGELES, CA 90011

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023746955, enumerated as an "individual" on August 09, 2022.

The provider is located at 5811 S SAN PEDRO ST LOS ANGELES, CA 90011 and the phone number is (323) 234-4445.

Counselor with taxonomy code 101Y00000X.