BROOKLYN N CLARK APSS
NPI 1275272940
Peer Specialist in Lexington, KY

Active since June 01, 2022
561 BREKENRIDGE STREET, 202, LEXINGTON, KY 40508(859) 317-3171 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Peer Specialist

About BROOKLYN CLARK

This page provides the complete NPI Profile along with additional information for Brooklyn Clark, a provider established in Lexington, Kentucky with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1275272940 assigned on June 2022. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 4 years ago. Brooklyn Clark operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization.

NPI
1275272940 Verify this NPI
Provider Name
BROOKLYN N CLARK APSS
Gender
Female
Entity Type
Individual
Location Address
561 BREKENRIDGE STREET 202 LEXINGTON, KY 40508
Location Phone
(859) 317-3171
Mailing Address
521 BIG BEAR LN LEXINGTON, KY 40517
Mailing Phone
(859) 317-3171
Is Sole Proprietor?
Yes
Enumeration Date
06-01-2022
Last Update Date
06-01-2022
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Location Map

Secondary Locations

  • 521 Big Bear Ln
    Lexington, KY 40517
    (859) 317-3171

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

Peer Specialist

Taxonomy Code
175T00000X
Type
Other Service Providers
License State
KY
Taxonomy Description
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275272940, enumerated as an "individual" on June 01, 2022.

The provider is located at 561 BREKENRIDGE STREET 202 LEXINGTON, KY 40508 and the phone number is (859) 317-3171.

Peer Specialist with taxonomy code 175T00000X.