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MR. ANDREW J CLARK
NPI 1316215528
Counselor in Santa Maria, CA

Active since December 02, 2011
1219 OAK KNOLL RD, SANTA MARIA, CA 93455(805) 268-5218 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Andrew J Clark NPPES

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

MR. ANDREW J CLARK (NPI 1316215528) is an individual counselor in Santa Maria, California, licensed in California (LEP3168) and active in the NPI registry since December 2011. He maintains a secondary practice location in Santa Maria.

NPPES Registry Identity

NPI1316215528
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. ANDREW J CLARK
Location Address1219 OAK KNOLL RDSanta Maria, CA 93455-4303
Mailing AddressPo Box 2531Santa Maria, CA 93457-2531 · (805) 268-5218
Phone(805) 268-5218
Sole ProprietorYes
Enumeration DateDecember 2, 2011
Last NPPES UpdateAugust 14, 2019
✔ NPI 1316215528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in CA · LEP3168
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License LEP3168 (CA)
Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License LEP3168 (CA)
1219 OAK KNOLL RD, Santa Maria, CA 93455
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Secondary Practice Location 1

Location 1402 Farnel Rd, Suite ASanta Maria, CA 93458-4960 · Phone (805) 922-0334

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 Andrew Clark's NPI number?

The NPI number for Andrew Clark is 1316215528. It was assigned to this individual provider in the NPPES registry on December 2, 2011.

Where is Andrew Clark located?

Andrew Clark practices at 1219 Oak Knoll Rd, Santa Maria, CA 93455. The listed phone number is (805) 268-5218.

What is Andrew Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Andrew Clark was last updated on August 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.