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TYNISHA CLARKE
NPI 1174088629
Counselor - Mental Health in Manchester, NJ

Active since February 08, 2019
149 10TH AVE, MANCHESTER, NJ 08759(732) 575-6770 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 25, 2023, Feb 8, 2019 (2 updates tracked since 2019).

About Tynisha Clarke NPPES

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

TYNISHA CLARKE (NPI 1174088629) is an individual mental health provider in Manchester, New Jersey, licensed in New Jersey (37PC00959500) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1174088629
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTYNISHA CLARKE
Location Address149 10TH AVEManchester, NJ 08759-5653
Mailing Address149 10th AveManchester, NJ 08759-5653 · (732) 575-6770
Phone(732) 575-6770
Sole ProprietorYes
Enumeration DateFebruary 8, 2019
Last NPPES UpdateAugust 25, 20232 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1174088629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NJ · 37PC00959500
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 37LC00374800 (NJ)
149 10TH AVE, Manchester, NJ 08759
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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 Tynisha Clarke's NPI number?

The NPI number for Tynisha Clarke is 1174088629. It was assigned to this individual provider in the NPPES registry on February 8, 2019.

Where is Tynisha Clarke located?

Tynisha Clarke practices at 149 10th Ave, Manchester, NJ 08759. The listed phone number is (732) 575-6770.

What is Tynisha Clarke'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 Tynisha Clarke was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.