CHARLES MICHAEL CLARK II LMHC
NPI 1043688583
Counselor - Mental Health in Fircrest, WA

Active since September 14, 2015
6314 19TH ST W STE 7, FIRCREST, WA 98466(253) 201-6070 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 4, 2021, Feb 19, 2021, Oct 13, 2016 (3 updates tracked since 2016).

About Charles Michael Clark Ii Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES MICHAEL CLARK II LMHC (NPI 1043688583) is an individual mental health provider in Fircrest, Washington and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1043688583
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCHARLES MICHAEL CLARK IICredential: LMHC
Location Address6314 19TH ST W STE 7Fircrest, WA 98466-6223
Mailing Address4404 Pacific St SwLakewood, WA 98499-4244 · (253) 201-6070
Sole ProprietorNo
Enumeration DateSeptember 14, 2015
Last NPPES UpdateMarch 4, 20213 updates tracked since enumeration
NPPES CertifiedMarch 4, 2021
NPI 1043688583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6314 19TH ST W STE 7, Fircrest, WA 98466

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Acupuncturist
6314 19TH ST W STE 7
FIRCREST, WA 98466
Counselor (Mental Health)
6314 19TH ST W STE 7
FIRCREST, WA 98466
Clinic/Center (Adult Mental Health)
6314 19TH ST W STE 7
FIRCREST, WA 98466
Counselor (Mental Health)
6314 19TH ST W STE 7
FIRCREST, WA 98466
Counselor (Professional)
6314 19TH ST W STE 7
FIRCREST, WA 98466
Counselor (Mental Health)
6314 19TH ST W STE 7
FIRCREST, WA 98466
Social Worker (Clinical)
6314 19TH ST W STE 7
FIRCREST, WA 98466
Social Worker (Clinical)
6314 19TH ST W STE 7
FIRCREST, WA 98466

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Clark's NPI number?

The NPI number for Charles Clark is 1043688583. It was assigned to this individual provider in the NPPES registry on September 14, 2015.

Where is Charles Clark located?

Charles Clark practices at 6314 19th St W Ste 7, Fircrest, WA 98466. The listed phone number is (253) 201-6070.

What is Charles Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Charles Clark was last updated on March 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.