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KATELYN E CLARK LPC
NPI 1194485912
Counselor - Professional in Bristow, VA

Active since December 20, 2021
11835 HAZEL CIRCLE DR, BRISTOW, VA 20136(571) 416-0537 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katelyn E Clark Lpc NPPES

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

KATELYN E CLARK LPC (NPI 1194485912) is an individual professional provider in Bristow, Virginia, licensed in Virginia (0701011080) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1194485912
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATELYN E CLARKCredential: LPC
Location Address11835 HAZEL CIRCLE DRBristow, VA 20136-1223
Mailing Address11835 Hazel Circle DrBristow, VA 20136-2180 · (571) 416-0537
Phone(571) 416-0537
Sole ProprietorNo
Enumeration DateDecember 20, 2021
NPPES CertifiedDecember 20, 2021
✔ NPI 1194485912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701011080
11835 HAZEL CIRCLE DR, Bristow, VA 20136
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Other Providers at the Same Location NPPES 20

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

NATALIA BECKER LPC
Counselor (Mental Health)
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Prince William County (703) 396-7263
MR. TERRY ROBERT TINSLEY LPC, LMFT, NCC CSOTP
Counselor (Professional)
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Prince William County (703) 631-3360
CHIDERA B ANUMUDU
Social Worker (Clinical)
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Prince William County (703) 659-9900
JESSICA RENEE MILLER LCSW
Social Worker (Clinical)
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Prince William County (703) 310-7378
MRS. NAOMI BRITTON LPC
Counselor (Mental Health)
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Prince William County (703) 636-5105
MEAGAN A CAESAR LPC
Counselor (Professional)
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Prince William County (703) 396-7240
ERIN KATHLEEN MCKINNEY FNP-C
Nurse Practitioner (Pediatrics)
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Prince William County (703) 659-0855
YOUTH FOR TOMORROW NEW LIFE CENTER INC
Community/Behavioral Health
11835 HAZEL CIRCLE DR
BRISTOW, VA 20136
Prince William County (703) 368-7995

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 Katelyn Clark's NPI number?

The NPI number for Katelyn Clark is 1194485912. It was assigned to this individual provider in the NPPES registry on December 20, 2021.

Where is Katelyn Clark located?

Katelyn Clark practices at 11835 Hazel Circle Dr, Bristow, VA 20136. The listed phone number is (571) 416-0537.

What is Katelyn Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Katelyn Clark was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.