KATHERINE AUDREY CLARK MA, LMHC, NCC
NPI 1285254672
Counselor - Mental Health in Tampa, FL

Active since April 26, 2020
3502 HENDERSON BLVD STE 218, TAMPA, FL 33609(727) 537-0752 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 1, 2021, Apr 26, 2020 (2 updates tracked since 2020).

About Katherine Audrey Clark Ma, Lmhc, Ncc NPPES

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

KATHERINE AUDREY CLARK MA, LMHC, NCC (NPI 1285254672) is an individual mental health provider in Tampa, Florida, licensed in Florida (MH17084) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1285254672
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHERINE AUDREY CLARKCredential: MA, LMHC, NCC
Location Address3502 HENDERSON BLVD STE 218Tampa, FL 33609-3970
Mailing Address3502 Henderson Blvd Ste 218Tampa, FL 33609-3970 · (727) 537-0752
Sole ProprietorYes
Enumeration DateApril 26, 2020
Last NPPES UpdateMarch 29, 20242 updates tracked since enumeration
NPPES CertifiedMarch 29, 2024
NPI 1285254672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · MH17084
3502 HENDERSON BLVD STE 218, Tampa, FL 33609

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
3502 HENDERSON BLVD STE 218
TAMPA, FL 33609

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 Katherine Clark's NPI number?

The NPI number for Katherine Clark is 1285254672. It was assigned to this individual provider in the NPPES registry on April 26, 2020.

Where is Katherine Clark located?

Katherine Clark practices at 3502 Henderson Blvd Ste 218, Tampa, FL 33609. The listed phone number is (727) 537-0752.

What is Katherine 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 Katherine Clark was last updated on March 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.