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CRYSTAL JAN CLARK CPC
NPI 1477037513
Peer Specialist in Tukwila, WA

Active since September 24, 2018
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188(206) 901-2000 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystal Jan Clark Cpc NPPES

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

CRYSTAL JAN CLARK CPC (NPI 1477037513) is an individual peer specialist in Tukwila, Washington and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1477037513
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameCRYSTAL JAN CLARKCredential: CPC
Location Address6400 SOUTHCENTER BLVDTukwila, WA 98188-2547
Mailing Address6400 Southcenter BlvdTukwila, WA 98188-2547 · (253) 298-8759
Phone(206) 901-2000
Sole ProprietorYes
Enumeration DateSeptember 24, 2018
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1477037513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
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.
6400 SOUTHCENTER BLVD, Tukwila, WA 98188
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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.

SIERRA WOLLEN
Counselor (Mental Health)
6400 SOUTHCENTER BLVD
TUKWILA, WA 98188
King County (206) 444-3600
ALEXANDRA DEAN
Counselor
6400 SOUTHCENTER BLVD
TUKWILA, WA 98188
King County (206) 901-2000
STACY LEE OPPLIGER SIMONEAUX OTR/L, MBA-HA
Occupational Therapist
6400 SOUTHCENTER BLVD
TUKWILA, WA 98188
King County (206) 901-2000
NORA AHMED ABDI
Counselor
6400 SOUTHCENTER BLVD
TUKWILA, WA 98188
King County (206) 901-2000
RYAN MITCHELL
Counselor (Mental Health)
6400 SOUTHCENTER BLVD
TUKWILA, WA 98188
King County (206) 901-2000
ASHLEY MORRIS
Counselor
6400 SOUTHCENTER BLVD
TUKWILA, WA 98188
King County (206) 901-2000
ADRIANNA HERNANDEZ
Counselor
6400 SOUTHCENTER BLVD
TUKWILA, WA 98188
King County (206) 901-2000
MARIAH MARIE RINGEL
Social Worker
6400 SOUTHCENTER BLVD
TUKWILA, WA 98188
King County (206) 901-2000

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 Crystal Clark's NPI number?

The NPI number for Crystal Clark is 1477037513. It was assigned to this individual provider in the NPPES registry on September 24, 2018.

Where is Crystal Clark located?

Crystal Clark practices at 6400 Southcenter Blvd, Tukwila, WA 98188. The listed phone number is (206) 901-2000.

What is Crystal Clark's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Crystal Clark was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.