HANNAH CLARK
NPI 1043884075
Counselor - Mental Health in Roswell, GA
About Hannah Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HANNAH CLARK (NPI 1043884075) is an individual mental health provider in Roswell, Georgia and active in the NPI registry since May 2021. She has opted out of Medicare through January 8, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Hannah Clark has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 8, 2024 through January 8, 2028.
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.
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 Hannah Clark's NPI number?
The NPI number for Hannah Clark is 1043884075. It was assigned to this individual provider in the NPPES registry on May 14, 2021.
Where is Hannah Clark located?
Hannah Clark practices at 102 Macy Dr, Roswell, GA 30076. The listed phone number is (678) 534-3824.
What is Hannah Clark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Hannah Clark enrolled in Medicare?
No. Hannah Clark has opted out of Medicare through January 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Hannah Clark was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Hannah Clark · NPI 1043884075
Mental Health provider in Roswell, Georgia. Individual provider, active in the CMS NPPES registry since May 14, 2021.
## Identity
- **NPI:** 1043884075 (Entity type: Individual)
- **Enumerated:** May 14, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 102 MACY DR, Roswell, GA 30076-6329
- **Phone:** (678) 534-3824
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 8, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** May 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1043884075) · Data from the CMS NPPES public registry.