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ANGEL SHANNON CLARK MA
NPI 1649394172
Counselor in Johnson City, TN

Active since March 19, 2007
109 W WATAUGA AVE, JOHNSON CITY, TN 37604(423) 232-2600(423) 232-2646 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Angel Shannon Clark Ma NPPES

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

ANGEL SHANNON CLARK MA (NPI 1649394172) is an individual counselor in Johnson City, Tennessee and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1649394172
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameANGEL SHANNON CLARKCredential: MA
Location Address109 W WATAUGA AVEJohnson City, TN 37604-5621
Mailing AddressPo Box 9054Gray, TN 37615-9054 · (423) 467-3600 · Fax (423) 467-3644
Phone(423) 232-2600
Fax(423) 232-2646
Sole ProprietorNo
Enumeration DateMarch 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649394172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
109 W WATAUGA AVE, Johnson City, TN 37604
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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.

JACQUELINE KATKO BS
Case Manager/Care Coordinator
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Washington County (423) 232-2600
MATTHEW M MIDKIFF LPC, MHSP
Counselor (Professional)
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Washington County (423) 232-2600
KIM MARIE DICKSON BACHELORS
Case Manager/Care Coordinator
109 W WATAUGA AVE, WATAUGA BEHAVIORAL HEALTH
JOHNSON CITY, TN 37604
Washington County (423) 232-2788
MR. JONATHAN JUNIOR PERKINS MED
Counselor
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Washington County (423) 232-2600
HANNAH T SHANNON LPC/ MHSP
Counselor (Professional)
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Washington County (423) 232-2600
HALEY N CIGARROA LPC/ MHSP
Counselor (Professional)
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Washington County (423) 232-2600
ISAAC LEE MARTIN JR. MRC CRC
Personal Emergency Response Attendant
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Washington County (423) 232-2600
ADAM WAYNE DAVIS
Case Manager/Care Coordinator
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Washington County (423) 232-2600

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 Angel Clark's NPI number?

The NPI number for Angel Clark is 1649394172. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Angel Clark located?

Angel Clark practices at 109 W Watauga Ave, Johnson City, TN 37604. The listed phone number is (423) 232-2600.

What is Angel 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 Angel Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.