ROBERT JON CLARK JR. MA, LPC
NPI 1457614885
Counselor - Professional in Dallas, TX
About Robert Jon Clark Jr. Ma, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERT JON CLARK JR. MA, LPC (NPI 1457614885) is an individual professional provider in Dallas, Texas, licensed in Texas (66476) and active in the NPI registry since June 2012.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DALLAS, TX 75205
DALLAS, TX 75205
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 Robert Clark's NPI number?
The NPI number for Robert Clark is 1457614885. It was assigned to this individual provider in the NPPES registry on June 20, 2012.
Where is Robert Clark located?
Robert Clark practices at 4514 Cole Ave Suite 600, Dallas, TX 75205. The listed phone number is (214) 907-0089.
What is Robert 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 Robert Clark was last updated on June 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Robert Jon Clark Jr., MA, LPC · NPI 1457614885
Professional provider in Dallas, Texas. Individual provider, active in the CMS NPPES registry since June 20, 2012.
## Identity
- **NPI:** 1457614885 (Entity type: Individual)
- **Enumerated:** June 20, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 66476 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4514 COLE AVE, SUITE 600, Dallas, TX 75205-5412
- **Phone:** (214) 907-0089
## Record status
- **NPPES last updated:** June 25, 2016
- **Other identifiers:** Other 8380LC (TX); Medicaid 309292601 (TX); Medicaid 309292602 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1457614885) · Data from the CMS NPPES public registry.